Komal Noor Kaur Uppal, FNP | |
12443 Oswalt Rd, Marietta, OK 73448-7510 | |
(972) 339-8670 | |
Not Available |
Full Name | Komal Noor Kaur Uppal |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 12443 Oswalt Rd, Marietta, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275266108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 208275 (Oklahoma) | Primary |
Entity Name | Williams Medical Group Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300 |
Mailing Address | Practice Location Address |
---|---|
Komal Noor Kaur Uppal, FNP 12443 Oswalt Rd, Marietta, OK 73448-7510 Ph: (972) 339-8670 | Komal Noor Kaur Uppal, FNP 12443 Oswalt Rd, Marietta, OK 73448-7510 Ph: (972) 339-8670 |
Nikki Kristin Barker, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Wanda St, Marietta, OK 73448 Phone: 580-276-2400 Fax: 580-276-4358 | |
Mrs. Jessica Doris Tipton, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12656 Loves Valley Rd, Marietta, OK 73448 Phone: 580-238-8536 | |
Patricia Owens, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Wanda St, Marietta, OK 73448 Phone: 580-276-2400 Fax: 580-276-4358 |