COMANCHE COUNTY HEALTHCARE CORPORATION NPI 1154345619

NPI Information

  • NPI: 1154345619
  • Provider Name: COMANCHE COUNTY HEALTHCARE CORPORATION
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Doing Business As: MMG UROLOGY
  • Address: 3201 W GORE BLVD
    SUITE 201
    LAWTON, OK
    ZIP 73505
  • Phone: (580) 357-2261

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NPI Details

COMANCHE COUNTY HEALTHCARE CORPORATION is an urology in Lawton, OK. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. COMANCHE COUNTY HEALTHCARE CORPORATION NPI is 1154345619. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mmg Urology.

The provider's business location address is:

3201 W GORE BLVD
SUITE 201
LAWTON, OK
ZIP 73505
Phone: (580) 357-2261
Fax: (580) 354-5990

The provider's authorized official is Brent Smith .
The authorized official title is Cfo and has the following contact phone number (580) 355-8620.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 7/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology19658OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100810030LMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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