| Concentra Health Care, P.a. | |
|
901 Sw Goodyear Blvd Lawton OK 73505-9755 | |
| (580) 531-5878 | |
| (580) 531-5779 |
| Full Name | Concentra Health Care, P.a. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 901 Sw Goodyear Blvd, 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 |
|---|---|
| Concentra Health Care, P.a. 5080 Spectrum Drive Suite 1200 West Addison TX 75001-4624 Ph: (972) 364-8000 | Concentra Health Care, P.a. 901 Sw Goodyear Blvd Lawton OK 73505-9755 Ph: (580) 531-5878 |
| NPI Number | 1962791780 |
|---|---|
| Provider Enumeration Date | 04/01/2011 |
| Last Update Date | 05/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962791780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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