Individual
MRS. AMY HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
717 S HOUSTON AVE STE 304, TULSA, OK 74127-9023
(918) 382-5064
(918) 382-3589
Mailing address
717 S HOUSTON AVE STE 304, TULSA, OK 74127-9023
(918) 382-5064
(918) 382-3589
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1872
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200274280A
—
OK
Enumeration date
01/04/2010
Last updated
02/14/2019
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