Organization
CARDIOLOGY DIAGNOSTICS OF TULSA
Active
Organization
CARDIOLOGY DIAGNOSTICS OF TULSA
Active
Parent organization
CARDIOLOGY OF TULSA, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARDIOLOGY OF TULSA, INC.
Authorized official
DR. MICHAEL G SPAIN M.D. (PRESIDENT & CEO)
(918) 494-8500
Entity
Organization
Contact information
Practice address
6151 S YALE AVE, #400, TULSA, OK 74136-1907
(918) 494-8500
(918) 307-5578
Mailing address
6151 S YALE AVE, #400, TULSA, OK 74136-1907
(918) 494-8500
(918) 307-5578
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100738900A
—
OK
01
—
CS9846
RAILROAD MEDICARE
OK
Enumeration date
06/25/2006
Last updated
09/18/2008
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