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General NPI Number Information
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NPI Number | 1992009039
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Entity Type | Organization
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Legal Business Name | MEMORIAL HOSPITAL OF TEXAS COUNTY AUTHORITY
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Dates
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Enumeration Date | 01/04/2011
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 1753 N ROOSEVELT ST
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City | GUYMON
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State | OK
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Zip | 73942-2763
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Country | US
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Telephone | 580-338-7792
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Fax | 580-338-7797
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Provider Business Mailing Address
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Address Line | 520 MEDICAL DR
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City | GUYMON
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State | OK
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Zip | 73942-4438
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Country | US
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Telephone | 580-338-6515
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Fax | 580-468-3442
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Authorized Official
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Title or Position | CEO
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Name | WILLIAM ERMANN
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Credential |
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Telephone | 580-338-6515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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