Healthcare Provider Details

I. General information

NPI: 1922065382
Provider Name (Legal Business Name): PATRICIA ANN PIGGINS PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA ANN HAGEN PA-C

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 04/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6585 S YALE AVE PULMONARY MEDICINE ASSOCIATES, INC SUITE 1200
TULSA OK
74136-8384
US

IV. Provider business mailing address

PO BOX 22063 DEPT 0289
TULSA OK
74121-2063
US

V. Phone/Fax

Practice location:
  • Phone: 918-494-9288
  • Fax: 918-494-9289
Mailing address:
  • Phone: 405-751-4664
  • Fax: 405-749-4561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number907
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: