| Anibal Mikjail Avila, MD | |
|
101 S Park Ln, Altus, OK 73521-5731 | |
| (580) 379-6140 | |
| (580) 379-6149 |
| Full Name | Anibal Mikjail Avila |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 101 S Park Ln, Altus, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659735827 | NPI | - | NPPES |
| 200929810A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 36299 (Oklahoma) | Primary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | BP10055824 (Texas) | Secondary |
| Entity Name | Shawnee Medical Center Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881648285 PECOS PAC ID: 3870405434 Enrollment ID: O20031103000239 |
| Entity Name | Jackson County Memorial Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093763781 PECOS PAC ID: 1759293178 Enrollment ID: O20031104000406 |
| Entity Name | Comanche County Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053352690 PECOS PAC ID: 0749192433 Enrollment ID: O20031106000742 |
| Mailing Address | Practice Location Address |
|---|---|
| Anibal Mikjail Avila, MD 800 N Oklahoma Ave Apt 1201, Oklahoma City, OK 73104-4407 Ph: (405) 763-7098 | Anibal Mikjail Avila, MD 101 S Park Ln, Altus, OK 73521-5731 Ph: (580) 379-6140 |
Eteakamba Udoh, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149 | |
Latoya Teresina Smith, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149 | |
Julia Rivera-figueroa, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149 | |
Dr. Vicente Yamil Sanchez, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149 | |
Tracy Lee Wilkerson, D.O Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6140 Fax: 580-379-6149 |