Organization
GAILCREST NEUROLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRASE MAHAN (MANAGER)
(918) 895-7680
Entity
Organization
Contact information
Practice address
9521 B RIVERSIDE PARKWAY #338, TULSA, OK 74137
(918) 895-7680
(918) 236-4646
Mailing address
PO BOX 268934, OKLAHOMA CITY, OK 73126-8934
(918) 895-7680
(918) 236-4646
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
09/24/2013
Last updated
07/21/2022
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