| Memorial Medical Group Internal Medicine Clinic | |
|
3201 W Gore Blvd Suite 304 Lawton OK 73505 | |
| (580) 353-6760 | |
| (580) 248-3760 |
| Full Name | Memorial Medical Group Internal Medicine Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3201 W Gore Blvd, Lawton, Oklahoma |
| Authorized Official Name and Position | Brent Smith (CEO) |
| Authorized Official Contact | 5805855511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Medical Group Internal Medicine Clinic Po Box 785 Lawton OK 73502 Ph: (580) 357-9984 | Memorial Medical Group Internal Medicine Clinic 3201 W Gore Blvd Suite 304 Lawton OK 73505 Ph: (580) 353-6760 |
| NPI Number | 1346266731 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 01/10/2024 |
| Medicare PECOS PAC ID | 2668373689 |
|---|---|
| Medicare Enrollment ID | O20210125000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346266731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 17722 (Oklahoma) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Laura Coleman, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5366 Nw Cache Rd, Suite 6, Lawton, OK 73505 Phone: 580-536-7546 Fax: 580-581-2051 | |
Mark W Cotton Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5610 Sw Lee Blvd, Lawton, OK 73505 Phone: 580-536-6600 Fax: 580-536-2427 | |
Legacy Wellness Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 927 Sw D Ave, Lawton, OK 73501 Phone: 405-936-0504 Fax: 405-936-0561 | |
Memorial Medical Group Minor Emergency Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4411 W Gore Blvd, Suite A2, Lawton, OK 73505 Phone: 580-355-0575 Fax: 580-248-1725 | |
Bobby Abraham Md Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 W Gore Blvd, Suite 105, Lawton, OK 73505 Phone: 580-510-7077 Fax: 580-510-7057 | |
R. Brent Smith, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4411 W Gore Blvd, Ste. B-5, Lawton, OK 73505 Phone: 580-357-0493 | |
Sooner Inpatient Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 954-838-2371 |