Organization
UNIVERSITY OF OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA HICKLE (TEAM LEADER)
(918) 660-3148
Entity
Organization
Contact information
Practice address
4444 E 41ST ST, IMPACT, TULSA, OK 74135-2527
(918) 660-3150
Mailing address
4444 E 41ST ST, TULSA, OK 74135-2527
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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