Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pack Family Clinic, PLLC

Organization Family Medicine Physician · NPI 1124531736

Pack Family Clinic, PLLC is a Family Medicine Physician in Ada, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2017.

Licensed in
OK
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1509 Augusta Dr
Ada, OK 74820-8576
Phone: (918) 728-4942
Fax: (918) 770-8456
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5857 (OK)

Record details

NPI number1124531736
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Valerie Pack — Family Physician · (918) 728-4942
Other names Family Physician
NPI enumeratedNovember 6, 2017
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021
Mailing address1509 Augusta Dr, Ada, OK 74820-8576

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