Individual
MADELEINE KRISTA TAMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 S HOUSTON AVE, TULSA, OK 74127-9043
(918) 921-3200
(918) 560-1399
Mailing address
14 S COLUMBIA AVE, TULSA, OK 74104-1613
(210) 232-6988
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
08/29/2023
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