Concentra Health Care Pa | |
901 Goodyear Boulevard Lawton OK 73505 | |
(580) 531-5878 | |
(580) 531-5779 |
Full Name | Concentra Health Care Pa |
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Speciality | Clinic/center - Health Service |
Location | 901 Goodyear Boulevard, Lawton, Oklahoma |
Authorized Official Name and Position | William Tom Fogarty (PRESIDENT) |
Authorized Official Contact | 9723648000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Concentra Health Care Pa 5080 Spectrum Drive Suite 1200 West Addison TX 75001-4624 Ph: () - | Concentra Health Care Pa 901 Goodyear Boulevard Lawton OK 73505 Ph: (580) 531-5878 |
NPI Number | 1558651687 |
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Provider Enumeration Date | 04/11/2011 |
Last Update Date | 05/18/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558651687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
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