| Brent W Laughlin Md Pllc | |
|
2000 S Wheeling Ave Ste 700 Tulsa OK 74104-5644 | |
| (918) 986-7979 | |
| (918) 986-7945 |
| Full Name | Brent W Laughlin Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2000 S Wheeling Ave Ste 700, Tulsa, Oklahoma |
| Authorized Official Name and Position | Brent W. Laughlin (PHYSICIAN / OWNER) |
| Authorized Official Contact | 9186457984 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent W Laughlin Md Pllc 2000 S Wheeling Ave Ste 700 Tulsa OK 74104-5644 Ph: (918) 986-7979 | Brent W Laughlin Md Pllc 2000 S Wheeling Ave Ste 700 Tulsa OK 74104-5644 Ph: (918) 986-7979 |
| NPI Number | 1861958159 |
|---|---|
| Provider Enumeration Date | 02/12/2019 |
| Last Update Date | 02/12/2019 |
| Medicare PECOS PAC ID | 0547500241 |
|---|---|
| Medicare Enrollment ID | O20190315001066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861958159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brent W Laughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407824501 PECOS PAC ID: 9638364789 Enrollment ID: I20101115000551 |
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