Individual
MR. CHAD SHINER MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2548 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 382-7300
Mailing address
1211 S ATLANTA PL, TULSA, OK 74104-4310
(918) 508-1738
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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