Provider Demographics
NPI:1245568609
Name:SOUTHWESTERN PULMONARY AND CRITICAL CARE PLLC
Entity Type:Organization
Organization Name:SOUTHWESTERN PULMONARY AND CRITICAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:VOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:5806-993-9999
Mailing Address - Street 1:5606 SW LEE BLVD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-9688
Mailing Address - Country:US
Mailing Address - Phone:580-699-3999
Mailing Address - Fax:580-699-3998
Practice Address - Street 1:5606 SW LEE BLVD
Practice Address - Street 2:SUITE 304
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-9688
Practice Address - Country:US
Practice Address - Phone:580-699-3999
Practice Address - Fax:580-699-3998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty