Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southwestern Emergency Department Physician Services, LLC

Organization Primary Care Clinic/Center · NPI 1255344206

Southwestern Emergency Department Physician Services, LLC is a Primary Care Clinic/Center in Lawton, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5602 SW Lee Blvd
Lawton, OK 73505-9635
Phone: (580) 531-4700
Fax: (580) 531-4889
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 2231 (OK)

Record details

NPI number1255344206
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Kruger — Chief Financial Officer · (580) 531-4701
NPI enumeratedAugust 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4401 W Memorial Rd, Suite 121, Oklahoma City, OK 73134-1785

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