Organization
NEUROLOGIC SERVICES OF OKLAHOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE THOMAS (CEO)
(918) 743-5552
Entity
Organization
Contact information
Practice address
2424 E 21ST STREET, STE 500, TULSA, OK 74114-1723
(918) 743-5552
(918) 743-5553
Mailing address
PO BOX 59001, DEPT 4012, TULSA, OK 74159-9001
(918) 743-5552
(918) 743-5553
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611693000
DEPT OF LABOR
—
05
—
800522442
—
OK
01
—
DE4687
RAILROAD MEDICARE
—
Enumeration date
06/01/2006
Last updated
10/12/2022
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