# YOUR MENOPAUSE MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255183422
- **Authorized official:** KERRI ANTHONY MD (MEMBER)
- **Authorized official phone:** (918) 924-5149

## Contact information

- **Practice address:** 6316 E 102ND ST FL 1, TULSA, OK 74137-7061
- **Practice address phone:** (918) 924-5149
- **Mailing address:** 11063D S MEMORIAL DR STE 123, TULSA, OK 74133-7362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2024
- **Last updated:** 04/02/2024