| Carol A. Hanson, D.o., P.c. | |
|
2526 E 71st St Suite H Tulsa OK 74136-5538 | |
| (918) 492-6611 | |
| Not Available |
| Full Name | Carol A. Hanson, D.o., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2526 E 71st St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Carol A. Hanson (REGISTERED AGENT) |
| Authorized Official Contact | 9184926611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol A. Hanson, D.o., P.c. 8086 S Yale Ave Pm Box 241 Tulsa OK 74136-9003 Ph: (918) 492-6611 | Carol A. Hanson, D.o., P.c. 2526 E 71st St Suite H Tulsa OK 74136-5538 Ph: (918) 492-6611 |
| NPI Number | 1558509679 |
|---|---|
| Provider Enumeration Date | 01/27/2009 |
| Last Update Date | 01/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558509679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2618 (Oklahoma) | Primary |
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