| Southwest Neurology Specialist Llc | |
|
5711 E 71st St Ste 100 Tulsa OK 74136-6655 | |
| (918) 888-8080 | |
| Not Available |
| Full Name | Southwest Neurology Specialist Llc |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 5711 E 71st St Ste 100, Tulsa, Oklahoma |
| Authorized Official Name and Position | Trey Marler (MANAGER) |
| Authorized Official Contact | 9188888080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Neurology Specialist Llc 5711 E 71st St Ste 100 Tulsa OK 74136-6655 Ph: (918) 888-8080 | Southwest Neurology Specialist Llc 5711 E 71st St Ste 100 Tulsa OK 74136-6655 Ph: (918) 888-8080 |
| NPI Number | 1427774835 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 10/17/2022 |
| Certification Date | 10/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427774835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
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