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NPI Profile for MAXWELL BROWN ENTERPRISE LLC in TULSA, OK.
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Addiction Psychiatry |
2084P0802X | 86 | Physician/Neuropsychiatry | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Independent Medical Examiner |
202C00000X | |||
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Licensed Practical Nurse |
164W00000X | |||
Nutrition, Education |
133NN1002X | |||
Pain Medicine |
208VP0000X | 72 | Physician/Pain Management | |
Pastoral |
101YP1600X | |||
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Preventive Medicine/Occupational-Environmental Medicine |
2083P0500X | 84 | Physician/Preventive Medicine | |
Registered Nurse |
163W00000X |
| NPI # | 1487273223 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/12/2020 | |
| Last updated | 04/12/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MAXWELL BROWN ENTERPRISE, LLC
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| DOUGLAS J IVINS, MD 1111 S ST LOUIS AVE TULSA, OK |
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| HEATHER M WALKER, CBHCM-A, LADC 2325 S HARVARD AVE TULSA, OK |
| ERIN J WAMBOLD 2725 EAST SKELLY DRIVE TULSA, OK |
| LINDSEY B VANDEVENTER, LCSW 11740 E 21ST ST TULSA, OK |
| CHARLES C POWELL, MD 7501 RIVERSIDE PKWY TULSA, OK |
| PATRICIA L MALTBY, LADCH/MH, LPC, 6216 S LEWIS AVE STE 102 TULSA, OK |
| TARA LINVILLE, PA-C 6565 S YALE AVE STE 1200 TULSA, OK |
| MITCHELL W DUININCK, MD 7501 RIVERSIDE PKWY TULSA, OK |
| CHRISTOPHER D JENKINS, MD 7501 RIVERSIDE PKWY TULSA, OK |
MAXWELL BROWN ENTERPRISE, LLC