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DANIEL CONSTANCE M.D. PLLC NPI 1275783623


NPI Information

NPI: 1275783623
Provider Name: DANIEL CONSTANCE, M.D. PLLC

Doing Business As: SOUTHWEST OKLAHOMA SPORTS & INTERNAL MEDICINE

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
5606 SW LEE BLVD
SUITE 203
LAWTON, OK
ZIP 73505
Phone: (580) 536-1111
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DANIEL CONSTANCE, M.D. PLLC is a medical specialty clinic center in Lawton, OK. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DANIEL CONSTANCE, M.D. PLLC NPI is 1275783623. The provider is registered as an organization entity type.
The provider Is Doing Business As Southwest Oklahoma Sports & Internal Medicine.

The provider's business location address is:

5606 SW LEE BLVD
SUITE 203
LAWTON, OK
ZIP 73505
Phone: (580) 536-1111
Fax: (580) 536-2211

The provider's authorized official is Daniel Constance .
The authorized official title is Member and has the following contact phone number (580) 536-1111.

The enumeration date for this NPI number is 9/23/2008 and was last updated on 1/16/2009.


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
1261QM2500XClinic/CenterMedical SpecialtyYes

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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