| Terry R Tatum, Dc, Pc, Inc | |
|
3315 E 47th Pl, Suite 120, Tulsa, OK 74135-2914 | |
| (918) 622-9655 | |
| (918) 622-9657 |
| Full Name | Terry R Tatum, Dc, Pc, Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3315 E 47th Pl, Tulsa, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801053525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | OK3362 (Oklahoma) | Primary |
| Provider Name | Terry R Tatum |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295742435 PECOS PAC ID: 8729971924 Enrollment ID: I20040203000432 |
| Mailing Address | Practice Location Address |
|---|---|
| Terry R Tatum, Dc, Pc, Inc 3315 E 47th Pl, Suite 120, Tulsa, OK 74135-2914 Ph: (918) 622-9655 | Terry R Tatum, Dc, Pc, Inc 3315 E 47th Pl, Suite 120, Tulsa, OK 74135-2914 Ph: (918) 622-9655 |
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