Ada Family Medical Center, PLLC
Organization Active NPI Family Medicine Physician · Tecumseh, OK
NPI 1376561845 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1376561845
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20674 (OK)
- Legal business name
- ADA FAMILY MEDICAL CENTER, PLLC
- Practice address
- 502 N Broadway St
Tecumseh, OK 74873-2018 - Phone
- (405) 598-0697
- Fax
- (405) 598-0857
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Christopher M Meyer, M.D.
- Title
- Owner/Physician
- Phone
- (405) 598-0697
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Ada Family Medical Center P
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 20674 | OK | Yes |
Addresses
Primary practice location
502 N Broadway St
Tecumseh, OK 74873-2018
Mailing address
502 N Broadway St
Tecumseh, OK 74873-2018
Phone (405) 598-0697
Other names
- Tecumseh Family Medical Center, PLLC
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All providers in Tecumseh, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.