Doctors Clinic Of Durant INC
Family Medicine in Durant, OK. Organization (NPI-2).
NPI number1598850331
StatusActive
Last updated in NPPESDec 10, 2010
Details
- NPI
- 1598850331
- Entity type
- Organization (NPI-2)
- Legal business name
- Doctors Clinic Of Durant INC
- Organization subpart
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- Dec 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 11978 | OK | Yes |
| 261QM2500X | Clinic/Center, Medical Specialty | – | OK | |
| 207R00000X | Internal Medicine | 23224 | OK | |
| 207VG0400X | Obstetrics & Gynecology, Gynecology | 11979 | OK |
Practice location
1400 Bryan DrSuite 300
Durant, OK 74701-2156
Phone 580-924-1700 · Fax 580-924-1736
Mailing address
1400 Bryan DrSuite 300
Durant, OK 74701
Phone 580-924-1700 · Fax 580-924-1736
Authorized official
Koteswar Rao Sureddi
Owner
5809241700
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