Tulsa Neuro Specialists PC
Psychiatry & Neurology, Neurology in Tulsa, OK. Organization (NPI-2).
NPI number1669989166
StatusActive
Last updated in NPPESJan 8, 2018
Details
- NPI
- 1669989166
- Entity type
- Organization (NPI-2)
- Legal business name
- Tulsa Neuro Specialists PC
- Organization subpart
- No
- Enumeration date
- Jan 5, 2018
- Last updated
- Jan 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 19558 | OK | Yes |
Practice location
5010 E 68th StTulsa, OK 74136-3323
Phone 918-492-6333
Mailing address
6966 S Utica Ave Ste 225Tulsa, OK 74136-3903
Authorized official
Jorge Gonzalez
Owner
9184926333
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