| |
5402 Sw Lee Blvd Lawton OK 73505-9521 | |
(918) 561-8306 | |
(918) 561-5747 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 5402 Sw Lee Blvd, Lawton, Oklahoma |
Authorized Official Name and Position | Eric Polak (VICE PRESIDENT FOR ADMIN/FINANCE) |
Authorized Official Contact | 9185618422 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2345 Southwest Blvd Tulsa OK 74107-2705 Ph: (918) 561-8306 | 5402 Sw Lee Blvd Lawton OK 73505-9521 Ph: (918) 561-8306 |
NPI Number | 1487106670 |
---|---|
Provider Enumeration Date | 11/04/2016 |
Last Update Date | 11/04/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487106670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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 | |
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 |