| New Frontier Wound Management Llc | |
|
3336 E 32nd St Ste 102 Tulsa OK 74135-4448 | |
| (918) 236-4601 | |
| Not Available |
| Full Name | New Frontier Wound Management Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3336 E 32nd St Ste 102, Tulsa, Oklahoma |
| Authorized Official Name and Position | Victor Young (OWNER) |
| Authorized Official Contact | 9182700221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Frontier Wound Management Llc 3336 E 32nd St Ste 102 Tulsa OK 74135-4448 Ph: (918) 236-4601 | New Frontier Wound Management Llc 3336 E 32nd St Ste 102 Tulsa OK 74135-4448 Ph: (918) 236-4601 |
| NPI Number | 1487427647 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 10/31/2023 |
| Medicare PECOS PAC ID | 8325580970 |
|---|---|
| Medicare Enrollment ID | O20240611001067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487427647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Angela Pinkston |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1205346814 PECOS PAC ID: 2668732272 Enrollment ID: I20180130001830 |
| Provider Name | Brittiany N Coyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790420073 PECOS PAC ID: 2264810241 Enrollment ID: I20220602002708 |
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