Individual
CAROL A HANSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2526 E 71ST ST, SUITE H, TULSA, OK 74136-5538
(918) 492-6611
(918) 492-0107
Mailing address
2526 E 71ST ST, SUITE H, TULSA, OK 74136-5538
(918) 492-6611
(918) 492-0107
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2618
OK
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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