Physician Assistant
INA GREEN PAC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1467699025 · enumerated 2009-01-19 · record updated 2009-01-19. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 14587, OKLAHOMA CITY, OK, 73113-0587 (405) 600-9988 Fax (405) 600-9989 Google Maps Apple Maps OpenStreetMap
- Practice location 4335 SE 15TH ST, DEL CITY, OK, 73115-3001 (405) 600-9988 Fax (405) 600-9989 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 1010 OK
In this directory
Locations and evidence
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Practice location
DEL CITY, OK, 731153001
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.