Organization
EAR NOSE & THROAT CLINIC OF TULSA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C KATHLEEN WORRALL (OFFICE ADMINISTRATION)
(918) 744-0228
Entity
Organization
Contact information
Practice address
4444 S HARVARD AVE, #100, TULSA, OK 74135-2634
(918) 744-0228
(918) 744-6613
Mailing address
4444 S HARVARD AVE, #100, TULSA, OK 74135-2634
(918) 744-0228
(918) 744-6613
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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