Healthcare Provider Details

I. General information

NPI: 1134527161
Provider Name (Legal Business Name): JAMES CLARE II
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2014
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 N 8TH ST
DUNCAN OK
73533-4601
US

IV. Provider business mailing address

23 N 8TH ST
DUNCAN OK
73533-4601
US

V. Phone/Fax

Practice location:
  • Phone: 580-736-8102
  • Fax:
Mailing address:
  • Phone: 580-736-8102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: