Organization
TULSA CANCER INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARON G. STREET M.D. (PRESIDENT)
(918) 505-3200
Entity
Organization
Contact information
Practice address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 505-3200
Mailing address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 505-3200
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200412430A
—
OK
Enumeration date
08/24/2010
Last updated
05/08/2014
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