| Wound Care Of Tulsa Pc | |
|
4538 S Harvard Ave Tulsa OK 74135-2906 | |
| (918) 712-3377 | |
| (918) 712-3373 |
| Full Name | Wound Care Of Tulsa Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4538 S Harvard Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Lam Thuy Le (PRESIDENT) |
| Authorized Official Contact | 9187123377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Care Of Tulsa Pc 4538 S Harvard Ave Tulsa OK 74135-2906 Ph: (918) 712-3377 | Wound Care Of Tulsa Pc 4538 S Harvard Ave Tulsa OK 74135-2906 Ph: (918) 712-3377 |
| NPI Number | 1326176165 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 07/18/2011 |
| Medicare PECOS PAC ID | 3173615804 |
|---|---|
| Medicare Enrollment ID | O20070824000677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326176165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lam T Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063562981 PECOS PAC ID: 6901998624 Enrollment ID: I20070824000656 |
| Provider Name | Ashley N Estep |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881875946 PECOS PAC ID: 8123105475 Enrollment ID: I20080410000423 |
| Provider Name | Raymond A Zekauskas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225074198 PECOS PAC ID: 2961508429 Enrollment ID: I20100330000130 |
| Provider Name | Kristofor Kalvig |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558898114 PECOS PAC ID: 9638595267 Enrollment ID: I20210903001928 |
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