COMANCHE COUNTY HEALTHCARE CORPORATION NPI 1891195590

NPI Information

COMANCHE COUNTY HEALTHCARE CORPORATION is a family nurse practitioner in Lawton, OK. COMANCHE COUNTY HEALTHCARE CORPORATION NPI is 1891195590. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mmg Minor Emergency.

The provider's business location address is:

4411 W GORE BLVD
SUITE A2
LAWTON, OK
ZIP 73505-016
Phone: (580) 355-0575
Fax: (580) 248-1725

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

The enumeration date for this NPI number is 8/29/2014 and was last updated on 8/29/2014.

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:

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