Lisa Owens, DO | |
2502 Woodward Blvd, Tulsa, OK 74114-2634 | |
(918) 688-7602 | |
Not Available |
Full Name | Lisa Owens |
---|---|
Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 2502 Woodward Blvd, Tulsa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740286848 | NPI | - | NPPES |
133960003 | Medicaid | AR | |
100119720A | Medicaid | OK | |
206280703 | Medicaid | MO | |
100363130A | Medicaid | KS | |
160478701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 2891 (Oklahoma) | Primary |
Entity Name | Texas Childrens Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 |
Mailing Address | Practice Location Address |
---|---|
Lisa Owens, DO 2502 Woodward Blvd, Tulsa, OK 74114-2634 Ph: (918) 688-7602 | Lisa Owens, DO 2502 Woodward Blvd, Tulsa, OK 74114-2634 Ph: (918) 688-7602 |
Misty Dawn Woodard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7858 South Olympia Avenue, Tulsa, OK 74132 Phone: 918-986-9200 | |
Pranav Garlapati, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 1414 E 39th St Apt 256, Tulsa, OK 74105 Phone: 850-376-4584 | |
Dr. Noel E Gattenby, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 8414 E 101st St, Tulsa, OK 74133 Phone: 918-369-3200 Fax: 918-369-3209 | |
Dr. Hee Won Kim, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-502-6135 Fax: 918-502-6137 | |
Frederick I Cohen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3218 S 79th East Ave, Tulsa, OK 74145 Phone: 918-663-6228 Fax: 918-665-0925 | |
Dr. Binh Thai Phung, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 717 S Houston Ave Ste 400, Tulsa, OK 74127 Phone: 918-382-4600 Fax: 918-382-3183 | |
Carmen M Gent, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 4444 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400 Fax: 918-619-4334 |