Organization
TULSA NEUROLOGY & HEADACHE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHASHI A HUSAIN M.D (PRESIDENT)
(918) 587-5534
Entity
Organization
Contact information
Practice address
1145 S UTICA AVE, SUITE 520, TULSA, OK 74104-4000
(918) 587-5534
(918) 587-5610
Mailing address
PO BOX 21228, DEPT 144, TULSA, OK 74121-1228
(187) 774-2631
(281) 812-2002
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13418
OK
Other
Enumeration date
09/06/2007
Last updated
04/20/2008
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