Organization
BREATHEAMERICA TULSA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MORROW (EXECUTIVE DIRECTOR)
(918) 994-5200
Entity
Organization
Contact information
Practice address
4716 W URBANA ST, SUITE 211, BROKEN ARROW, OK 74012-5997
(918) 994-5200
(918) 994-5222
Mailing address
4716 W URBANA ST, SUITE 211, BROKEN ARROW, OK 74012-5997
(918) 994-5200
(918) 994-5222
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200308210A
—
OK
01
—
OKAAA2234
MEDICARE PTAN
OK
Enumeration date
04/29/2010
Last updated
06/01/2012
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