Individual
TINNAKON N XAIYARATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
5436 S MINGO RD, SUITE I, TULSA, OK 74146-5711
(918) 622-3100
(918) 622-3103
Mailing address
PO BOX 471543, TULSA, OK 74147-1543
(918) 622-3100
(918) 622-3103
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3827
OK
Other
Enumeration date
02/11/2007
Last updated
02/25/2009
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