# TULSA WELLNESS MANAGEMENT, LLC

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

## Provider details

- **NPI number:** 1578117859
- **Authorized official:** KIMBERLY WILLIAMSON (PRACTICE MANAGER)
- **Authorized official phone:** (918) 982-6250

## Contact information

- **Practice address:** 3501 S YALE AVE STE A, TULSA, OK 74135-8014
- **Practice address phone:** (918) 982-6250
- **Practice address fax:** (918) 982-6254
- **Mailing address:** 3501 S YALE AVE STE A, TULSA, OK 74135-8014
- **Mailing address phone:** (918) 982-6250
- **Mailing address fax:** (918) 982-6254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2019
- **Last updated:** 07/25/2019