| Trauma Center For Children And Families, L.l.c. | |
|
2021 S Lewis Ave Suite 620 Tulsa OK 74104-5733 | |
| (918) 381-6477 | |
| Not Available |
| Full Name | Trauma Center For Children And Families, L.l.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2021 S Lewis Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Marissa Anna Carpenter (SOLE OWNER) |
| Authorized Official Contact | 9183816477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trauma Center For Children And Families, L.l.c. 3741 S Xanthus Ave Tulsa OK 74105-8141 Ph: (918) 381-6477 | Trauma Center For Children And Families, L.l.c. 2021 S Lewis Ave Suite 620 Tulsa OK 74104-5733 Ph: (918) 381-6477 |
| NPI Number | 1275877144 |
|---|---|
| Provider Enumeration Date | 11/16/2012 |
| Last Update Date | 11/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275877144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4052 (Oklahoma) | Primary |
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