| Lisa Christine Hoffman, MD | |
|
2510 Chickasaw Blvd, Ardmore, OK 73401-1341 | |
| (580) 226-8181 | |
| (580) 421-6283 |
| Full Name | Lisa Christine Hoffman |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2510 Chickasaw Blvd, Ardmore, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467593210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 25142 (Oklahoma) | Primary |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Christine Hoffman, MD 1925 Warrior Way, Ada, OK 74820-3491 Ph: (580) 421-4570 | Lisa Christine Hoffman, MD 2510 Chickasaw Blvd, Ardmore, OK 73401-1341 Ph: (580) 226-8181 |
Dr. Gwen Canarias Fuentes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 919 15th Ave Nw, Ardmore, OK 73401 Phone: 580-223-5693 Fax: 580-223-8909 | |
Derek Todd Landis, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 921 14th Ave Nw, Ardmore, OK 73401 Phone: 580-223-5311 Fax: 580-223-8227 | |
Miguel Antonio Camacho-garrido, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1104 Walnut Dr, Ardmore, OK 73401 Phone: 580-226-0543 Fax: 580-226-2284 | |
Tony Simon Germans Gabriel, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 731 12th Ave Nw Ste 301, Ardmore, OK 73401 Phone: 580-220-6650 Fax: 580-220-6651 |