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Contact Information

CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC
104 NW 31ST ST
LAWTON, OK73505-6100
 Phone: 580-536-2121
 Fax: 580-536-2150
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC

NPI Number 1073787792
LBN Legal business name CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC
Authorized official JAMES HOOTON - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/14/2008
Last updated 06/07/2024 - More than a year ago
Identifiers
OK Medicaid 200280260B
OK Medicaid 200280260F
OK Other 6502330001 NSC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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