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COMANCHE COUNTY HEALTHCARE CORPORTATION NPI 1174901102


NPI Information

NPI: 1174901102
Provider Name: COMANCHE COUNTY HEALTHCARE CORPORTATION

Doing Business As: MMG PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
3201 W GORE BLVD
SUITE G1
LAWTON, OK
ZIP 73505
Phone: (580) 510-7070
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COMANCHE COUNTY HEALTHCARE CORPORTATION is a pediatrics in Lawton, OK. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. COMANCHE COUNTY HEALTHCARE CORPORTATION NPI is 1174901102. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mmg Pediatrics.

The provider's business location address is:

3201 W GORE BLVD
SUITE G1
LAWTON, OK
ZIP 73505-378
Phone: (580) 510-7070

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 5/11/2015 and was last updated on 6/23/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

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: 11/14/2023

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