Individual
DR. SAMUEL JAY PANGBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10505 E 91ST ST STE 203, TULSA, OK 74133
(918) 307-3120
(918) 307-3121
Mailing address
6600 S YALE AVE STE 14000, TULSA, OK 74136-3347
(888) 247-0125
(918) 502-8210
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3593
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100096880A
—
OK
05
—
171802501
—
TX
Enumeration date
12/28/2005
Last updated
03/28/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us