Organization
PARADIGM HORMONES TULSA, PLLC
Active
Organization
PARADIGM HORMONES TULSA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI BUSELLATO (INSURANCE CREDENTIALING)
(405) 703-7020
Entity
Organization
Contact information
Practice address
6316 E 102ND ST, TULSA, OK 74137-7061
(405) 703-7020
(405) 703-7021
Mailing address
6316 E 102ND ST, TULSA, OK 74137-7061
(405) 703-7020
(405) 703-7021
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
OK
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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