Individual
DARRELL EUGENE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Mailing address
14300 N PENNSYLVANIA AVE APT 41, OKLAHOMA CITY, OK 73134-6055
(405) 430-6539
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OK
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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