| |
1819 E 19th St Suite 302 Tulsa OK 74104-5407 | |
(918) 742-0552 | |
(918) 747-3177 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1819 E 19th St, Tulsa, Oklahoma |
Authorized Official Name and Position | Christine E. Franden (M.D./OWNER) |
Authorized Official Contact | 9187420552 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1819 E 19th St Suite 302 Tulsa OK 74104-5407 Ph: (918) 742-0552 | 1819 E 19th St Suite 302 Tulsa OK 74104-5407 Ph: (918) 742-0552 |
NPI Number | 1619384179 |
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Provider Enumeration Date | 07/16/2014 |
Last Update Date | 03/18/2015 |
Medicare PECOS PAC ID | 2769708544 |
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Medicare Enrollment ID | O20150313002088 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619384179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Christine E Franden |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669459160 PECOS PAC ID: 9830189125 Enrollment ID: I20040518000173 |
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