| Id Consultants Pllc | |
|
8609 Willow Springs Ct Broken Arrow OK 74011-8250 | |
| (918) 361-2825 | |
| (770) 573-9513 |
| Full Name | Id Consultants Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8609 Willow Springs Ct, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Shaun White (MANAGER) |
| Authorized Official Contact | 5022129393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Consultants Pllc 8609 Willow Springs Ct Broken Arrow OK 74011-8250 Ph: (918) 361-2825 | Id Consultants Pllc 8609 Willow Springs Ct Broken Arrow OK 74011-8250 Ph: (918) 361-2825 |
| NPI Number | 1932507605 |
|---|---|
| Provider Enumeration Date | 12/12/2014 |
| Last Update Date | 02/12/2015 |
| Medicare PECOS PAC ID | 2961727656 |
|---|---|
| Medicare Enrollment ID | O20150223000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932507605 | NPI | - | NPPES |
| 200037750A | Medicaid | OK | |
| 24139 | Other | OK | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 24139 (Oklahoma) | Primary |
| Provider Name | Debra L Murray |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215912621 PECOS PAC ID: 2961487129 Enrollment ID: I20041016000232 |
Team Clinics Ah Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 S 9th St, Broken Arrow, OK 74012 Phone: 405-546-4130 | |
Osu-aj Susan B. Young Do Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4700 W Urbana St, Broken Arrow, OK 74012 Phone: 918-561-8306 Fax: 918-561-5747 | |
Wellspring Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1081 N. Birch Ave, Broken Arrow, OK 74012 Phone: 918-461-0422 Fax: 918-461-0428 | |
Family Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3100 S. Elm Pl., Suite A, Broken Arrow, OK 74012 Phone: 918-455-7777 Fax: 918-455-8105 | |
Ent And Sinus Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4716 W Urbana St, Suite B, Broken Arrow, OK 74012 Phone: 918-872-9966 Fax: 918-893-2043 | |
Dr Brandon Bailey Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3621 S Elder Blvd, Broken Arrow, OK 74011 Phone: 620-330-0360 | |
Ba Med Spa & Weight Loss Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-872-9999 Fax: 918-893-6342 |