Individual
CHRISTINE TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
4444 E 41ST ST STE 2302, TULSA, OK 74135-2527
(918) 660-3150
(918) 660-3143
Mailing address
3828 E 69TH ST, TULSA, OK 74136-2831
(405) 593-1719
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200980080A
—
OK
Enumeration date
04/07/2021
Last updated
11/19/2024
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