IndividualActive
Alena Costulas, PA
NPI 1851008460 · Physician Assistant · Yukon, OK
Provider details
- NPI number
- 1851008460
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 4902 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
520 S Mustang Rd
Yukon, OK 73099-6737
Phone: (405) 936-5910
Approximate (ZIP-level) locationGet directions
Mailing address
1802 Ennis Joslin Rd Apt 531
Corpus Christi, TX 78412-4345
Registry dates
- Enumerated
- 2022-11-02
- Last updated
- 2022-11-02
- Certified
- 2022-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.