Organization
RADIOLOGY CONSULTANTS OF TULSA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER JORDAN TAYLOR M.D. (PRESIDENT)
(918) 743-8838
Entity
Organization
Contact information
Practice address
5801 E 41ST ST STE 900, TULSA, OK 74135-5631
(918) 747-4975
(918) 743-8552
Mailing address
PO BOX 4930, TULSA, OK 74159-0930
(918) 747-4975
(918) 743-8552
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100731180A
—
OK
01
—
CO7020
RR MEDICARE
OK
Enumeration date
09/30/2005
Last updated
07/13/2022
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