# CHRISTY ALLEN BENNETT DO PC

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

## Provider details

- **NPI number:** 1902995988
- **Authorized official:** CHRISTY BENNETT D.O. (OWNER)
- **Authorized official phone:** (918) 492-6333

## Contact information

- **Practice address:** 8803 S. 101ST E. AVE, 370, TULSA, OK 74133
- **Practice address phone:** (918) 492-6333
- **Mailing address:** 8803 E. 101ST E. AVE, 370, TULSA, OK 74133
- **Mailing address phone:** (918) 492-6333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | OK | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 08/22/2020