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TEXOMA COLLABORATIVE FAMILY MEDICINE LLC
NPI 1083474522
Family Medicine in Ardmore, OK

Active since March 21, 2024
1005 15TH AVE NW, ARDMORE, OK 73401(580) 798-5015 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Texoma Collaborative Family Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEXOMA COLLABORATIVE FAMILY MEDICINE LLC (NPI 1083474522) is a healthcare organization registered as a family medicine in Ardmore, Oklahoma and active in the NPI registry since March 2024. The organization lists Jessy Bracklein, Owner, as its authorized official.

NPPES Registry Identity

NPI1083474522
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTEXOMA COLLABORATIVE FAMILY MEDICINE LLC
Location Address1005 15TH AVE NWArdmore, OK 73401-1810
Mailing Address1005 15th Ave NwArdmore, OK 73401-1810 · (580) 798-5015
Phone(580) 798-5015
Organization SubpartNo
Authorized OfficialJessy BrackleinOwner · (580) 798-5015
Enumeration DateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1083474522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1005 15TH AVE NW, Ardmore, OK 73401
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Other Identifiers 1

Medicaid200294340AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONNIE M WILSON DO PC
Internal Medicine
1005 15TH AVE NW
ARDMORE, OK 73401
Carter County (580) 226-1010
BAKER FORE BUSINESS ASSOCIATES, INC
Pain Medicine (Pain Medicine)
1005 15TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-4800
FRELYN LOUGHRIDGE FAMILY NURSE PRACTITIONER PC
Nurse Practitioner (Family)
1005 15TH AVE NW
ARDMORE, OK 73401
Carter County (580) 319-5306
BENJAMIN BAKER FORE DO
Pain Medicine (Pain Medicine)
1005 15TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Texoma Collaborative Family Medicine LLC's NPI number?

The NPI number for Texoma Collaborative Family Medicine LLC is 1083474522. It was assigned to this organization in the NPPES registry on March 21, 2024.

Where is Texoma Collaborative Family Medicine LLC located?

Texoma Collaborative Family Medicine LLC is located at 1005 15th Ave NW, Ardmore, OK 73401. The listed phone number is (580) 798-5015.

What is Texoma Collaborative Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Texoma Collaborative Family Medicine LLC was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.