GP SURGERY CENTER, LLC
Surgery Yellow Pages
Lawton, Oklahoma
Provider NPI: 1477551745
Organization Information:Organization Name: GP SURGERY CENTER, LLC
Practice Location:
5404 SOUTHWEST LEE BOULEVARD SUITE 100 LAWTON, OK 73505 US
Tel: 580-536-7533 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
5404 SOUTHWEST LEE BOULEVARD SUITE 100 LAWTON, OK 73505 US
Tel: 580-536-7533 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | OK | 0027 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS | 000371019001 | 01 | |
200008100A | OK | 05 | |
BLUE CROSS PROVIDER NUMBE | 000371019001 | OK | 01 |
RAILROAD MEDICARE | 490005778 | OK | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin