Organization
SOUTHWESTERN OKLAHOMA SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWNA BYRD (CEO)
(580) 536-0000
Entity
Organization
Contact information
Practice address
5374 NW CACHE RD, LAWTON, OK 73505-3313
(580) 536-0000
Mailing address
5374 NW CACHE RD, LAWTON, OK 73505-3313
(580) 536-0000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/12/2021
Last updated
03/06/2024
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