| Yan Luo, | |
|
1401 E Van Buren Ave, Mcalester, OK 74501-4245 | |
| (918) 421-8410 | |
| (918) 421-8772 |
| Full Name | Yan Luo |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1401 E Van Buren Ave, Mcalester, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235739657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 41901 (Oklahoma) | Primary |
| Entity Name | Warren Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174582282 PECOS PAC ID: 8820900293 Enrollment ID: O20031104000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Yan Luo, 6600 S Yale Ave Ste 1400, Tulsa, OK 74136-3331 Ph: (918) 499-4855 | Yan Luo, 1401 E Van Buren Ave, Mcalester, OK 74501-4245 Ph: (918) 421-8410 |
Paul Stephen Thomas, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1401 E Van Buren Ave, Mcalester, OK 74501 Phone: 918-426-0240 Fax: 918-423-4051 | |
Johnny Johnston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1401 E Van Buren Ave, Mcalester, OK 74501 Phone: 918-426-0240 Fax: 918-423-4051 | |
Jody M Wilson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1401 E Van Buren Ave, Mcalester, OK 74501 Phone: 918-421-8410 Fax: 918-421-8772 | |
Dr. Misti K Crawley, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1127 S George Nigh Expy, Mcalester, OK 74501 Phone: 918-423-8440 |