| Paradigm Hormones Tulsa, Pllc | |
|
6316 E 102nd St Tulsa OK 74137-7061 | |
| (405) 703-7020 | |
| (405) 703-7021 |
| Full Name | Paradigm Hormones Tulsa, Pllc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6316 E 102nd St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Nikki Busellato (INSURANCE CREDENTIALING) |
| Authorized Official Contact | 4057037020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradigm Hormones Tulsa, Pllc 6316 E 102nd St Tulsa OK 74137-7061 Ph: (405) 703-7020 | Paradigm Hormones Tulsa, Pllc 6316 E 102nd St Tulsa OK 74137-7061 Ph: (405) 703-7020 |
| NPI Number | 1417303801 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 05/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417303801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Oklahoma) | Primary |
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