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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