Individual
CHRISTY A. BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
11212 E 48TH ST, TULSA, OK 74146-5806
(918) 556-3000
(918) 556-7064
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1286
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200024630A
—
OK
Enumeration date
06/04/2006
Last updated
05/08/2020
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