Organization
TULSA SPECIALTY HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH NEAL (CREDENTIALING COORDINATOR)
(405) 947-5557
Entity
Organization
Contact information
Practice address
3219 S 79TH EAST AVE, TULSA, OK 74145-1343
(918) 663-8183
Mailing address
4400 WILL ROGERS PKWY, STE 105, OKLAHOMA CITY, OK 73108-1837
(405) 947-5557
(405) 948-6507
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
09/14/2009
Last updated
01/26/2010
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