STATE OF OKLAHOMA

NPI # 

Practice Address:

602 Sw 38Th Street

Lawton, OK, 73505-6912

Practice Phone:

580-248-5780

Practice Fax:

580-353-3202

License Number:

0005111

License State:

OK

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Medical Specialty

Taxonomy Code:

261QM2500X

Updated by NPPES on 1/30/2024. You can view the original data set for NPI # 1619012515 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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STATE OF OKLAHOMA's

CMS CPT® coding data

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STATE OF OKLAHOMA's

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