Tulsa Behavioral Medicine Llc | |
5272 S Lewis Ave Suite 220 Tulsa OK 74105-6544 | |
(918) 938-7701 | |
(918) 938-7006 |
Full Name | Tulsa Behavioral Medicine Llc |
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Speciality | Psychologist - Health |
Location | 5272 S Lewis Ave, Tulsa, Oklahoma |
Authorized Official Name and Position | Walter Jay Exon (PRESIDENT) |
Authorized Official Contact | 9189387701 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tulsa Behavioral Medicine Llc 5272 S Lewis Ave Suite 220 Tulsa OK 74105-6544 Ph: (918) 938-7701 | Tulsa Behavioral Medicine Llc 5272 S Lewis Ave Suite 220 Tulsa OK 74105-6544 Ph: (918) 938-7701 |
NPI Number | 1659613016 |
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Provider Enumeration Date | 03/25/2013 |
Last Update Date | 03/25/2013 |
Identifier | Type | State | Issuer |
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1659613016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TH0004X | Psychologist - Health | 10770 (Oklahoma) | Primary |
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