Organization
TULSA NEURO SPECIALISTS PC
Active
Organization
TULSA NEURO SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE GONZALEZ MD (OWNER)
(918) 492-6333
Entity
Organization
Contact information
Practice address
5010 E 68TH ST, TULSA, OK 74136-3323
(918) 492-6333
Mailing address
6966 S UTICA AVE STE 225, TULSA, OK 74136-3903
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
19558
OK
Other
Enumeration date
01/05/2018
Last updated
01/08/2018
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