Full Name | |
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Speciality | Family Medicine |
Location | Hwy 81 And 70, Waurika, Oklahoma |
Authorized Official Name and Position | Brent Smith (CFO) |
Authorized Official Contact | 5803558620 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 785 Lawton OK 73502 Ph: (580) 357-9984 | Hwy 81 And 70 Waurika OK 73573 Ph: (580) 228-3669 |
NPI Number | 1235159229 |
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Provider Enumeration Date | 07/20/2006 |
Last Update Date | 05/08/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235159229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2176 (Oklahoma) | Primary |
Steven D Hinshaw D O Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 W Broadway Ave, Waurika, OK 73573 Phone: 580-228-3527 Fax: 580-228-2578 | |