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Contact Information

EASTERN OKLAHOMA EAR, NOSE & THROAT INC
5020 E 68TH ST
TULSA, OK74136-3307
 Phone: 918-492-3636
 Fax: 918-494-8915
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207YS0012X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for EASTERN OKLAHOMA EAR, NOSE & THROAT INC

NPI # 1205052149
LBN Legal business name EASTERN OKLAHOMA EAR, NOSE & THROAT INC
Authorized official SUSAN WEATHERLY - (CREDENTIALING CLERK)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2007
Last updated 12/09/2010 - About 15 years ago
Identifiers
OK Medicaid 100805560B
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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