Christopher Anthony, RT

Individual provider Active NPI Radiologic Technologist · Lawton, OK

NPI 1144831983 · NPPES record last updated Aug 14, 2020

Key facts

NPI
1144831983
Entity type
Individual (NPI type 1)
Primary specialty
Radiologic Technologist 247100000X
License
294242 (TX)
Practice address
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3099
Phone
(580) 354-5581
NPI assigned
Aug 14, 2020
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
294242TXMDRadiologic Technologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X 294242 TX Yes

Addresses

Primary practice location

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3099

Mailing address

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3099
Phone (580) 354-5581

Other providers in Lawton, OK

All providers in Lawton, OK · Radiologic Technologist in Oklahoma

Sources for this page

Verify at the official NPI Registry.