| Antony Vincent Mancheril, MD | |
|
3401 W Gore Blvd, Lawton, OK 73505-6332 | |
| (580) 355-8620 | |
| Not Available |
| Full Name | Antony Vincent Mancheril |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 3401 W Gore Blvd, Lawton, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598342925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 44131 (Oklahoma) | Primary |
| Entity Name | Comanche County Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053352690 PECOS PAC ID: 0749192433 Enrollment ID: O20031106000742 |
| Mailing Address | Practice Location Address |
|---|---|
| Antony Vincent Mancheril, MD 3401 W Gore Blvd, Lawton, OK 73505-6332 Ph: (580) 355-8620 | Antony Vincent Mancheril, MD 3401 W Gore Blvd, Lawton, OK 73505-6332 Ph: (580) 355-8620 |
Alexander F Degazon, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5602 Sw Lee Blvd, Southwest Medical Center, Lawton, OK 73505 Phone: 580-531-4700 | |
Logan Grant Mills, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620 | |
Pamela J Barry Duguid, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3201 W Gore Blvd, Suite 202, Lawton, OK 73505 Phone: 580-355-6731 Fax: 580-250-5806 |