# ALLERGY RELIEF OF SOUTH TULSA, LLC

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

## Provider details

- **NPI number:** 1487116612
- **Authorized official:** KRISTY PHILLIPS (DIRECTOR OF BUSINESS AFFAIRS)
- **Authorized official phone:** (918) 893-9240

## Contact information

- **Practice address:** 9940 E 81ST ST STE 100, TULSA, OK 74133-4501
- **Practice address phone:** (918) 893-9240
- **Mailing address:** 9940 E 81ST ST STE 100, TULSA, OK 74133-4501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/05/2019
- **Last updated:** 11/27/2023