Individual
DR. ALFRED D JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 505-3200
(918) 505-3225
Mailing address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 505-3200
(918) 505-3225
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
32593
OK
207VX0201X
Gynecologic Oncology Physician
L4470
TX
2086X0206X
Surgical Oncology Physician
058970
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200674540A
—
OK
05
—
288841401
—
TX
05
—
288841402
—
TX
01
—
8DB701
BCBS
TX
01
—
P01096120
RAILROAD MEDICAR
TX
Enumeration date
07/06/2006
Last updated
10/24/2018
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