| Deon | |
|
1737 E. 32nd St. North Tulsa OK 74110 | |
| (918) 428-2412 | |
| Not Available |
| Full Name | Deon |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1737 E. 32nd St. North, Tulsa, Oklahoma |
| Authorized Official Name and Position | Deandre Lajuan Rhodes (SERVICE COORDINATOR) |
| Authorized Official Contact | 9188502412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deon 5010 S Urbana Ave Apt 1b Tulsa OK 74135-3409 Ph: () - | Deon 1737 E. 32nd St. North Tulsa OK 74110 Ph: (918) 428-2412 |
| NPI Number | 1710270418 |
|---|---|
| Provider Enumeration Date | 05/27/2011 |
| Last Update Date | 05/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710270418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 61573931 (Oklahoma) | Primary |
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