Durant Hma INC.
Internal Medicine in Durant, OK. Organization (NPI-2).
NPI number1083667075
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1083667075
- Entity type
- Organization (NPI-2)
- Legal business name
- Durant Hma INC.
- Organization subpart
- No
- Enumeration date
- May 18, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Jaiswal Clinic (Doing Business As)
Practice location
702 Bryan DrSuite 100
Durant, OK 74701-7000
Phone 580-924-4704 · Fax 580-924-6001
Mailing address
Po Box 995Durant, OK 74702-0995
Phone 580-924-4704 · Fax 580-924-6001
Authorized official
Tony Barber
Senior Vice President
2395983051
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