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DAN HORTON M.D. INC. NPI 1568590784


NPI Information

NPI: 1568590784
Provider Name: DAN HORTON, M.D., INC.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
4417 W GORE BLVD
SUITE 6
LAWTON, OK
ZIP 73505
Phone: (580) 353-3920
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DAN HORTON, M.D., INC. is a clinic center in Lawton, OK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DAN HORTON, M.D., INC. NPI is 1568590784. The provider is registered as an organization entity type.

The provider's business location address is:

4417 W GORE BLVD
SUITE 6
LAWTON, OK
ZIP 73505-978
Phone: (580) 353-3920
Fax: (580) 353-3936

The provider's authorized official is Stephanie P. Green .
The authorized official title is Office Manager and has the following contact phone number (580) 353-3920.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 6/29/2010.


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
1261Q00000XClinic/Center10253OKLAHOMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1731026014-001OTHEROKLAHOMABCBS BILLING NUMBER
2100089340AMEDICAIDOKLAHOMA
3D34819MEDICARE UPINOKLAHOMA
41184600421MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMANPI

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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