Individual
MR. IRVIN WILLIAM WILSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2508 E. 71ST ST. # C, TULSA, OK 74136
(918) 794-6570
(918) 340-5189
Mailing address
2508 E. 71ST ST. # C, TULSA, OK 74136
(918) 794-6570
(918) 340-5189
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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