Individual
DR. JUSTIN LALTHAWMPUIA SAILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7600 S LEWIS AVE, TULSA, OK 74136-6836
(539) 399-3410
(539) 399-3429
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7760
OK
207Q00000X
Family Medicine Physician
V6390
TX
Other
Enumeration date
04/29/2021
Last updated
07/22/2025
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