| Dan Horton, M.d., Inc. | |
|
4417 W Gore Blvd Suite 6 Lawton OK 73505-5978 | |
| (580) 353-3920 | |
| (580) 353-3936 |
| Full Name | Dan Horton, M.d., Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 4417 W Gore Blvd, Lawton, Oklahoma |
| Authorized Official Name and Position | Stephanie P. Green (OFFICE MANAGER) |
| Authorized Official Contact | 5803533920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dan Horton, M.d., Inc. 4417 W Gore Blvd Suite 6 Lawton OK 73505-5978 Ph: (580) 353-3920 | Dan Horton, M.d., Inc. 4417 W Gore Blvd Suite 6 Lawton OK 73505-5978 Ph: (580) 353-3920 |
| NPI Number | 1568590784 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 06/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568590784 | NPI | - | NPPES |
| 731026014-001 | Other | OK | BCBS BILLING NUMBER |
| 100089340A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 10253 (Oklahoma) | Primary |
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