| |
5014 East 101st Street, Suite 200, Tulsa, OK 74137 | |
(918) 701-3770 | |
(918) 701-3779 |
Full Name | |
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Type | Facility |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 5014 East 101st Street, Tulsa, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669915336 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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5014 East 101st Street, Suite 200, Tulsa, OK 74137 Ph: (918) 701-3770 | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 Ph: (918) 701-3770 |