| Advanced Family Care, Pllc | |
|
9320 S Mingo Rd Tulsa OK 74133-5710 | |
| (918) 901-9701 | |
| (918) 901-9702 |
| Full Name | Advanced Family Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 9320 S Mingo Rd, Tulsa, Oklahoma |
| Authorized Official Name and Position | Kenneth Reed (OWNER) |
| Authorized Official Contact | 9189215701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Care, Pllc 9320 S Mingo Rd Tulsa OK 74133-5710 Ph: (918) 921-5701 | Advanced Family Care, Pllc 9320 S Mingo Rd Tulsa OK 74133-5710 Ph: (918) 901-9701 |
| NPI Number | 1104670884 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 05/18/2024 |
| Medicare PECOS PAC ID | 6800238288 |
|---|---|
| Medicare Enrollment ID | O20240530003260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104670884 | NPI | - | NPPES |
| Provider Name | Lam D Nguyen |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1902082258 PECOS PAC ID: 7012072143 Enrollment ID: I20090224000391 |
| Provider Name | Kenneth Calrisian Reed |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1033315437 PECOS PAC ID: 5597921387 Enrollment ID: I20120723000955 |
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