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Contact Information

THE MOVEMENT DISORDER CLINIC OF OKLAHOMA, PLLC
7302 S YALE AVE
TULSA, OK74136
 Phone: 918-392-4530
 Fax: 918-392-4535
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for THE MOVEMENT DISORDER CLINIC OF OKLAHOMA, PLLC

NPI # 1548435209
LBN Legal business name THE MOVEMENT DISORDER CLINIC OF OKLAHOMA, PLLC
Authorized official KEVIN KLOS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2008
Last updated 09/29/2010 - About 16 years ago
Identifiers
OK License # 24389
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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