National Provider Identifier Database

TULSA CANCER INSTITUTE PLLC
Hematology & Oncology

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.


Contact Information

TULSA CANCER INSTITUTE, PLLC
600 S ADAMS ST
STILLWATER, OK74074-4370
Phone: 405-372-1775
Fax: 405-372-1802
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X
Gynecologic Oncology 207VX0201X
Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for TULSA CANCER INSTITUTE, PLLC

NPI Number 1275917908
Legal business name
LBN
TULSA CANCER INSTITUTE, PLLC
Authorized official DARON STREET - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/13/2015
Last updated 07/13/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 200412430A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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