Unknown Individual – Psychiatry Physician, NPI 1356336911
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 785
LAWTON, OK 735020785
Phone: (580) 357-9984
Fax: (580) 357-3277
Type: Mailing
Southwest Gore Boulevard, Lawton, Comanche County, Oklahoma, 73501, United States
STE 10
LAWTON, OK 735056328
Phone: (580) 250-6651
Fax: (580) 250-6655
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73502)
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