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

Texoma Collaborative Family Medicine LLC

Organization Family Medicine Physician · NPI 1083474522

Texoma Collaborative Family Medicine LLC is a Family Medicine Physician in Ardmore, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1005 15th Ave NW
Ardmore, OK 73401-1810
Phone: (580) 798-5015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1083474522
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessy Bracklein — Owner · (580) 798-5015
NPI enumeratedMarch 21, 2024
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address1005 15th Ave Nw, Ardmore, OK 73401-1810

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