Individual provider · NPI-1
Jason Bass, DO
Hospitalist · Tulsa, OK
NPI number1124569298
StatusActive
Last updated in NPPESJun 26, 2024
Details
- NPI
- 1124569298
- Entity type
- Individual (NPI-1)
- Name
- Jason Bass
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2017
- Certification date
- Jun 26, 2024
- Last updated
- Jun 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 6360 | OK | Yes |
| 207R00000X | Internal Medicine | 6360 | OK |
Practice location
6161 S Yale AveTulsa, OK 74136-1902
Phone 918-502-1900 · Fax 918-494-6303
Mailing address
6600 S Yale Ave Ste 1400Tulsa, OK 74136-3331
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