Individual
MECO WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11428 E 20TH ST, TULSA, OK 74128-6451
(918) 878-7877
Mailing address
5443 N GARRISON PL, TULSA, OK 74126-2625
(918) 812-1415
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
OK
Enumeration date
06/21/2013
Last updated
06/21/2013
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