# COMANCHE COUNTY HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MMG Pathology Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568707248
- **Authorized official:** MR. BRENT SMITH (CEO)
- **Authorized official phone:** (580) 355-8620

## Contact information

- **Practice address:** 3401 W GORE BLVD, LAWTON, OK 73505-6332
- **Practice address phone:** (888) 638-7800
- **Mailing address:** PO BOX 2309, SECTION 6, LAWTON, OK 73502-2309
- **Mailing address phone:** (888) 638-7800
- **Mailing address fax:** (817) 731-7774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2012
- **Last updated:** 10/17/2016