Wound Integrity Oklahoma PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WOUND INTEGRITY OKLAHOMA PA

Practice address

1120 S Utica Ave
Tulsa, OK 74104-4012

Phone

(512) 202-3830

Fax

(512) 354-1106

NPI assigned

Sep 14, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Han Pham Hulen, MD

Title

Owner

Phone

(214) 274-1507

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Malcom Huddleston, M.D.

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1568490621
  NPD (past)
• Autumn Savage, D.O.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1245598408
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1689289910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3409",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786913409",
            "telephone_number": "512-202-3830",
            "fax_number": "512-354-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "512-202-3830",
            "fax_number": "512-354-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND INTEGRITY OKLAHOMA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "HULEN",
        "authorized_official_first_name": "HAN",
        "authorized_official_middle_name": "PHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-274-1507",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Worthington, LPN
• Kayla Worthington
• Megan Shabon Woslager, M.D.
• Kimberly L Wotring, LBP, BCBA
• Wound Care of Tulsa PC
• Bradley Wouters
• Alexander Wozencraft
• Wrany R. Southard, D.D.S., P.C.
• Kelly Wratten, FNP-C
• Carl Benjamin Wren, PHARMD

• Internal Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.