NPI Profile for TULSA EP PLLC in TULSA, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Emergency Medical Services |
207PE0004X | 93 | Physician/Emergency Medicine | |
Emergency Care |
261QE0002X |
| NPI Number | 1508424755 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/03/2019 | |
| Last updated | 03/18/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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TULSA EP, PLLC
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