Dr Jose D Clay-flores, MD | |
2921 Sw 89th St, Oklahoma City, OK 73159-6332 | |
(405) 730-6990 | |
(405) 730-6992 |
Full Name | Dr Jose D Clay-flores |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2921 Sw 89th St, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851302574 | NPI | - | NPPES |
8R6761 | Other | TX | BLUE CROSS BLUE SHIELD |
160504423727 | Other | TX | HUMANA INSURANCE |
2377690 | Other | TX | UNITED HEALTHCARE INS |
L4307 | Other | TX | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | L4307 (Texas) | Secondary |
208000000X | Pediatrics | 39095 (Oklahoma) | Primary |
Entity Name | Professionals Associated For Children's Benefit |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659778025 PECOS PAC ID: 4688004351 Enrollment ID: O20200420003197 |
Mailing Address | Practice Location Address |
---|---|
Dr Jose D Clay-flores, MD 2921 Sw 89th St Ste 412, Oklahoma City, OK 73159-6332 Ph: (405) 730-6990 | Dr Jose D Clay-flores, MD 2921 Sw 89th St, Oklahoma City, OK 73159-6332 Ph: (405) 730-6990 |
Elizabeth Clare Kutteh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave # 14000, Oklahoma City, OK 73104 Phone: 405-271-4417 | |
Deepthi Gopinathan Nair, MBBS, DNB PEDIATRICS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Oklahoma City, OK 73104 Phone: 425-655-8633 | |
Mary Anne Mccaffree, MS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Everett Dr, 7th Floor North Pavilion, Oklahoma City, OK 73104 Phone: 405-271-5215 Fax: 405-271-1236 | |
Sandra Jean Gilliland, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Sw 44th St, Oklahoma City, OK 73109 Phone: 405-632-6688 Fax: 405-604-0708 | |
John August Ruth Iii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Everett Dr Fl 10, Oklahoma City, OK 73104 Phone: 405-271-4417 | |
Samuel Levin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Everett Dr, Oklahoma City, OK 73104 Phone: 405-271-5215 | |
Roa Muqbel, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Oklahoma City, OK 73104 Phone: 405-271-4417 |