Organization
ALL SAINTS HOME MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD MULLEN (SYSTEM DIRECTOR, OPERATIONS ASHME)
(918) 940-1605
Entity
Organization
Contact information
Practice address
5402 S 129TH EAST AVE STE D, TULSA, OK 74134-6706
(918) 624-4400
(918) 624-4469
Mailing address
5402 S 129TH EAST AVE STE D, TULSA, OK 74134-6706
(918) 624-4400
(918) 624-4469
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
N/A
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100807350A
—
OK
01
—
18003
MEDICARE SUBMITTER
OK
Enumeration date
07/11/2005
Last updated
06/30/2025
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