Organization
HOUSE CALLS DIRECT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANNE DERRICO APRN, CNP (APRN/CO-OWNER)
(580) 512-0746
Entity
Organization
Contact information
Practice address
415 W GORE BLVD, LAWTON, OK 73501-3710
(580) 248-9966
Mailing address
415 W GORE BLVD, LAWTON, OK 73501-3710
(580) 248-9966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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