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Individual

DR. CHARLES J. FOULKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4444 E 41ST ST, 3RD FLOOR, STE A, TULSA, OK 74135-2527
(918) 619-4400
(918) 619-4152
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 660-3460
(918) 619-4152

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
26353
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
330790YLP1
MEDICARE TRAVIS COUNTY
TX
01
330790YLP2
MEDICARE WILLIAMSON COUNTY
TX
Enumeration date
03/27/2006
Last updated
11/03/2014
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