Wanda Diaz (NPI# 1801090329, PAC ID# 1557444205) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1801090329 |
| PAC ID by PECOS | 1557444205 |
| Professional Enrollment ID | I20110131000298 |
| Full Name | Wanda Diaz |
| Organization Legal Name | XGTO URGENT MEDICAL OF LAWTON, LLC |
| Address |
1902 E Gore Blvd Lawton OK 73501-6102 |
| Phone Number | 5803574200 |
| Gender | F |
| Medical School | UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4789863267 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1902 E Gore Blvd, Lawton, OK 73501-6102 | 5803574200 | XGTO URGENT MEDICAL OF LAWTON, LLC |
| Organization Legal Name | XGTO URGENT MEDICAL OF LAWTON, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manuel J Delarosa | Emergency Medicine | Xgto Urgent Medical of Lawton, LLC | 1902 E Gore Blvd, Lawton, OK 73501-6102 |
| Paula M Bowman | Nurse Practitioner | Xgto Urgent Medical of Lawton, LLC | 1902 E Gore Blvd, Lawton, OK 73501-6102 |
| Mary A. Derrico | Nurse Practitioner | Xgto Urgent Medical of Lawton, LLC | 1902 E Gore Blvd, Lawton, OK 73501-6102 |
| Carmen A Percival | Physician Assistant | Xgto Urgent Medical of Lawton, LLC | 1902 E Gore Blvd, Lawton, OK 73501-6102 |
| Cathy Carns | Nurse Practitioner | Xgto Urgent Medical of Lawton, LLC | 1902 E Gore Blvd, Lawton, OK 73501-6102 |
| Street Address |
1902 E GORE BLVD |
| City | LAWTON |
| State | OK |
| Zip | 73501-6102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manuel J Delarosa | Emergency Medicine | Xgto Urgent Medical of Lawton, LLC | 1902 E Gore Blvd, Lawton, OK 73501-6102 |
| Paula M Bowman | Nurse Practitioner | Xgto Urgent Medical of Lawton, LLC | 1902 E Gore Blvd, Lawton, OK 73501-6102 |
| Mary A. Derrico | Nurse Practitioner | Xgto Urgent Medical of Lawton, LLC | 1902 E Gore Blvd, Lawton, OK 73501-6102 |
| Carmen A Percival | Physician Assistant | Xgto Urgent Medical of Lawton, LLC | 1902 E Gore Blvd, Lawton, OK 73501-6102 |
| Cathy Carns | Nurse Practitioner | Xgto Urgent Medical of Lawton, LLC | 1902 E Gore Blvd, Lawton, OK 73501-6102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monique W Leong | Optometry | 1415 W Gore Blvd, Lawton, OK 73501-3606 | |
| Rose Lepien | Chiropractic | Aaragon Chiropractic Inc | 1201 W Gore Blvd, Suite A, Lawton, OK 73501-3629 |
| Blaine M Adair | Chiropractic | Aaragon Chiropractic Inc | 1201 W Gore Blvd, Suite A, Lawton, OK 73501-3629 |
| Doris Langston | Clinical Social Worker | 811 Sw B Ave, Suite A, Lawton, OK 73501-3939 | |
| Leah D Dick | Clinical Psychologist | Leah Dick and Associates PC | 1001 Sw B Ave, Suite 120, Lawton, OK 73501-3967 |
| Kenneth E Dick | Clinical Psychologist | Leah Dick and Associates PC | 1001 Sw B Ave, Suite 120, Lawton, OK 73501-3967 |
| Brandon K Ross | Optometry | Eye Health Associates P.l.l.c. | 409 Sw C Ave, Complete Eye Care Downtown, Lawton, OK 73501-4017 |
| Laura Elaine England | Optometry | Eye Health Associates P.l.l.c. | 409 Sw C Ave, Complete Eye Care Downtown, Lawton, OK 73501-4017 |
| Chris P Swanson | Optometry | Eye Health Associates P.l.l.c. | 409 Sw C Ave, Complete Eye Care Downtown, Lawton, OK 73501-4017 |
| Howard Knox Ross | Optometry | Eye Health Associates P.l.l.c. | 409 Sw C Ave, Complete Eye Care Downtown, Lawton, OK 73501-4017 |
| Find all physicians in zip 73501 | |||
| City | LAWTON |
| Zip Code | 73501 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LAWTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Wanda Diaz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.