NPI 1700365558

Cameron University

Organisation Orthopaedic Surgery Physician Lawton, OK

Practice location

Address: 2800 W Gore Blvd, Lawton, OK 73505-6320
Phone: (972) 367-4845
Mailing address: 5050 Spring Valley Rd, Dallas, TX 75244-3995

Authorised official

Name: Mouzon Bass
Title: Administrator
Phone: (972) 367-4845

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X

Other Orthopaedic Surgery providers in Oklahoma →

Registry record

NPI: 1700365558
Entity type: Organization
NPI issued: 13 Aug 2018
Record last updated: 13 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.