National Provider Identifier Database

CANCER CENTERS OF SOUTHWEST OKLAHOMA LLC
Hematology & Oncology

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.


Contact Information

CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC
1200 E BROADWAY ST
ALTUS, OK73521-5702
Phone: 580-480-4400
Fax: 580-480-4416
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X
Radiation Oncology 2085R0001X

* Indicates primary specialty

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

NPI Number 1609041136
Legal business name
LBN
CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC
Authorized official JAMES HOOTON - (CHEIF OPERATING OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 04/25/2008
Last updated 06/07/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 200280260C
  • OK Medicaid: 200280260E
  • OK Other: 6502330002 NSC

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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