Individual
CALEB D HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4444 E 41ST ST, TULSA, OK 74135-2527
(918) 619-4400
(918) 619-4152
Mailing address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 619-4400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6987
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201085540A
—
OK
Enumeration date
04/29/2019
Last updated
11/19/2024
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