Individual
DR. JASON WALTER BEAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5310 E 31ST ST FL LL, TULSA, OK 74135-5018
(918) 236-4000
(918) 236-4001
Mailing address
5310 E 31ST ST FL 13, TULSA, OK 74135-5018
(918) 561-5701
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4615
OK
2084F0202X
Forensic Psychiatry Physician
Primary
4615
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200207470A
—
OK
01
—
304297YM2Y
MEDICARE
OK
Enumeration date
09/18/2007
Last updated
05/12/2021
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