Individual
TIMOTHY WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REVEREND
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3131
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
2193340
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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