Cornelius Douglas

Contractor · Lawton, OK

Individual Active NPI

NPI number 1750703765

Practice location

2103 NW 50TH St
Lawton, OK 73505-3253
Phone
(405) 246-5423

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NPI record

NPI
1750703765
Entity type
Individual (Type 1)
Enumeration date
January 9, 2014
Last updated
January 9, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X — —

About Cornelius Douglas

Cornelius Douglas is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 2103 NW 50TH St, Lawton, OK 73505-3253. The NPI number 1750703765 was assigned on January 9, 2014 and the record was last updated on January 9, 2014.

Frequently asked questions

What is the NPI number of Cornelius Douglas?

The NPI number is 1750703765.

What is the phone number of Cornelius Douglas?

The phone number listed for the practice location is (405) 246-5423.

Where is Cornelius Douglas located?

2103 NW 50TH St, Lawton, OK 73505-3253.

What is the taxonomy code for Cornelius Douglas?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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