Organization
TATAS FOR NOW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL RENEE HILLIARY (OWNER)
(580) 574-1359
Entity
Organization
Contact information
Practice address
2319 W GORE BLVD, LAWTON, OK 73505-6301
(580) 699-8846
Mailing address
2319 W GORE BLVD, LAWTON, OK 73505-6301
(580) 699-8846
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
OK
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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