Individual
DR. EDITH MERCEDES DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10711 E 11TH ST, SUITE 1, TULSA, OK 74128-3200
(918) 261-6493
(918) 583-7205
Mailing address
10711 E 11TH ST STE 1, XAVIER CLINIC, TULSA, OK 74128-3212
(918) 261-6493
(918) 583-7205
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18702
OK
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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