Wanda I Diaz, MD | |
1902 E Gore Blvd, Lawton, OK 73501-6102 | |
(580) 357-4200 | |
Not Available |
Full Name | Wanda I Diaz |
---|---|
Gender | Female |
Speciality | Undefined Physician Type (specify) |
Experience | 33 Years |
Location | 1902 E Gore Blvd, Lawton, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801090329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 038217 (Georgia) | Secondary |
207P00000X | Emergency Medicine | 27633 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Xgto Urgent Medical Of Lawton, Llc | 4789863267 | 3 |
Entity Name | Xgto Urgent Medical Of Lawton, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891027371 PECOS PAC ID: 4789863267 Enrollment ID: O20110131000222 |
Mailing Address | Practice Location Address |
---|---|
Wanda I Diaz, MD 1902 E Gore Blvd, Lawton, OK 73501-6102 Ph: (580) 357-4200 | Wanda I Diaz, MD 1902 E Gore Blvd, Lawton, OK 73501-6102 Ph: (580) 357-4200 |
Daniel Dorton, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd # W, Lawton, OK 73505 Phone: 580-699-4322 | |
Dr. Kirk M. Smith, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4909 Se Mills Ave, Lawton, OK 73501 Phone: 580-890-0545 | |
Dr. Justin M Magalassi, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 918-519-2011 | |
Dr. Manuel Delarosa, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Nw 67th St, Suite E, Lawton, OK 73505 Phone: 580-536-9400 | |
Dr. Grant Kevin Dewitt, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-884-0331 | |
Ryan Dale Ford, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4510 Sw Wendy Dr, Lawton, OK 73505 Phone: 580-355-8620 | |
Dr. Andrew Burnette, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-585-5545 |