Organization · Type 2 NPI

Main Street Family Clinic LLC

Family Medicine Physician · Canton, OK

NPI number 1275326191 Active

Practice location

213 W Main St
Canton, OK 73724-1234

Fax (405) 936-0561

Mailing address

PO Box 57390
Oklahoma City, OK 73157-7390

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: 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.

About NPI 1275326191

Main Street Family Clinic LLC's National Provider Identifier is 1275326191, issued on May 23, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Canton, OK. The record was last updated on Jul 9, 2025.