Douglas, Saura C
Douglas, Saura C is an individual health care provider with primary practice located at 1145 S Utica Ave Ste 202 , Tulsa OK 74104-4022. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Douglas, Saura C can be contacted via phone (918) 579-3130.Contact Information
Primary practice address
1145 S Utica Ave Ste 202
Tulsa OK 74104-4022
Phone: (918) 579-3130
Fax: (918) 579-3139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2372 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2372 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2372 | Oklahoma |
Profile Details
| NPI number | 1760805329 |
|---|---|
| LBN Legal business name | Douglas, Saura C |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2014 |
| Last updated | Apr 8th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760805329 | NPPES |
| Oklahoma | MEDICAID | 200550180A |
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