| Tulsa C.a.r.e.s. | |
|
3712 E 11th St Tulsa OK 74112-3952 | |
| (918) 834-4194 | |
| (918) 834-4189 |
| Full Name | Tulsa C.a.r.e.s. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3712 E 11th St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Kate Neary (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9188344194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tulsa C.a.r.e.s. 3507 E Admiral Pl Tulsa OK 74115-8211 Ph: (918) 834-4194 | Tulsa C.a.r.e.s. 3712 E 11th St Tulsa OK 74112-3952 Ph: (918) 834-4194 |
| NPI Number | 1346528718 |
|---|---|
| Provider Enumeration Date | 08/02/2011 |
| Last Update Date | 04/05/2022 |
| Certification Date | 04/05/2022 |
| Medicare PECOS PAC ID | 7416389200 |
|---|---|
| Medicare Enrollment ID | O20191116000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346528718 | NPI | - | NPPES |
| Provider Name | Madhuri J Lad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053529891 PECOS PAC ID: 4880786821 Enrollment ID: I20070822001322 |
| Provider Name | Gena M Orr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649480781 PECOS PAC ID: 3173702263 Enrollment ID: I20110120001226 |
| Provider Name | Justin Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790211795 PECOS PAC ID: 8729354790 Enrollment ID: I20171018001851 |
| Provider Name | Sabrina Suzainne Villalon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194306811 PECOS PAC ID: 1254749625 Enrollment ID: I20210423001209 |
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