Dan Paul Fox, P.A.

Individual provider Active NPI Physician Assistant · Lexington, OK

NPI 1467456293 · NPPES record last updated Feb 8, 2013

Key facts

NPI
1467456293
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
PA200 (OK)
Practice address
16161 Moffatt Rd
Lexington, OK 73051
Phone
(405) 527-5593
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA200OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blackhawk Mangum, LLC Past Accepting new patients
Liberty Dayton Community Hospital Past
since Nov 3, 2005
Accepting new patients
Winnie Community Hospital, L.L.C. Past
since Nov 1, 2001
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA200 OK Yes

Addresses

Primary practice location

16161 Moffatt Rd
Lexington, OK 73051

Mailing address

4217 Hunters Hill Rd
Norman, OK 73072-3923
Phone (405) 229-4495

Other providers in Lexington, OK

All providers in Lexington, OK · Physician Assistant in Oklahoma

Sources for this page

Verify at the official NPI Registry.