Affordable Health Services Pllc | |
2636 Sw 28th St Oklahoma City OK 73108 | |
(405) 602-5330 | |
(405) 835-3932 |
Full Name | Affordable Health Services Pllc |
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Speciality | Internal Medicine |
Location | 2636 Sw 28th St, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Charlene Buford (OFFICE MANAGER) |
Authorized Official Contact | 4056025330 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Affordable Health Services Pllc 2636 Sw 28th St Oklahoma City OK 73108-5823 Ph: (405) 602-5330 | Affordable Health Services Pllc 2636 Sw 28th St Oklahoma City OK 73108 Ph: (405) 602-5330 |
NPI Number | 1710386081 |
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Provider Enumeration Date | 08/22/2014 |
Last Update Date | 03/20/2024 |
Medicare PECOS PAC ID | 3971724972 |
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Medicare Enrollment ID | O20141016000121 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710386081 | NPI | - | NPPES |
200559210A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 28578 (Oklahoma) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Al Nguyen |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1295027647 PECOS PAC ID: 0446483986 Enrollment ID: I20140507001092 |
Provider Name | Anh Tu Nguyen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972048742 PECOS PAC ID: 8628355856 Enrollment ID: I20170426000177 |
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