| Tulsa Neuro Specialists Pc | |
|
5010 E 68th St Tulsa OK 74136-3323 | |
| (918) 492-6333 | |
| Not Available |
| Full Name | Tulsa Neuro Specialists Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5010 E 68th St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Jorge Gonzalez (OWNER) |
| Authorized Official Contact | 9184926333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tulsa Neuro Specialists Pc 6966 S Utica Ave Ste 225 Tulsa OK 74136-3903 Ph: () - | Tulsa Neuro Specialists Pc 5010 E 68th St Tulsa OK 74136-3323 Ph: (918) 492-6333 |
| NPI Number | 1669989166 |
|---|---|
| Provider Enumeration Date | 01/05/2018 |
| Last Update Date | 01/08/2018 |
| Medicare PECOS PAC ID | 0446205454 |
|---|---|
| Medicare Enrollment ID | O20050312000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669989166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 19558 (Oklahoma) | Primary |
| Provider Name | Jorge A Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073567392 PECOS PAC ID: 2264487271 Enrollment ID: I20050316000010 |
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