Mariam Gallagher, DO | |
3401 W Gore Blvd, Lawton, OK 73505-6332 | |
(818) 624-4536 | |
Not Available |
Full Name | Mariam Gallagher |
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Gender | Female |
Speciality | Family Medicine |
Location | 3401 W Gore Blvd, Lawton, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366825234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | S6840 (Texas) | Secondary |
207Q00000X | Family Medicine | 5940 (Oklahoma) | Secondary |
207Q00000X | Family Medicine | 0097R (Oklahoma) | Primary |
Entity Name | Covenant Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548288160 PECOS PAC ID: 0244148732 Enrollment ID: O20031111000534 |
Mailing Address | Practice Location Address |
---|---|
Mariam Gallagher, DO 60 Doniphan Rd, El Paso, TX 79916 Ph: (818) 624-4536 | Mariam Gallagher, DO 3401 W Gore Blvd, Lawton, OK 73505-6332 Ph: (818) 624-4536 |
Mark W Cotton, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5610 Sw Lee Blvd, Lawton, OK 73505 Phone: 580-536-6600 Fax: 580-536-2427 | |
Michael Ramos, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3811 W Gore Blvd, Suite 1, Lawton, OK 73505 Phone: 580-585-5550 Fax: 580-585-5551 | |
John C Loose, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3201 W Gore Blvd Ste 305, Memorial Medical Group, Lawton, OK 73505 Phone: 580-510-7070 | |
Kia Denae Mccollum, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5602 Sw Lee Blvd, Lawton, OK 73505 Phone: 580-581-4700 | |
Dr. Ama Amofah, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8699 | |
Joseph Dawley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 Nw Arlington Ave, Lawton, OK 73507 Phone: 580-248-2288 | |
Dr. Patrice Elaine Mooney, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 501 Se Flower Mound Rd, Lawton, OK 73501 Phone: 580-351-6511 |