OrganizationActive
Ada Family Medical Center, PLLC
NPI 1023063997 · Family Medicine Physician · Ada, OK
Provider details
- NPI number
- 1023063997
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Marc Davis, Owner / Physician
- License
- 3540 (OK)
Practice location
530 N Monte Vista St
Ada, OK 74820-4612
Phone: (580) 310-9510
Fax: (580) 436-4447
Mailing address
530 N Monte Vista St
Ada, OK 74820-4612
Registry dates
- Enumerated
- 2006-05-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.