Organization
TULSA NEUROLOGY CLINIC INC.
Active
Organization
TULSA NEUROLOGY CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY K JOHNSON DO (OWNER)
(918) 743-2882
Entity
Organization
Contact information
Practice address
7134 S YALE AVE, SUITE 450, TULSA, OK 74136-6372
(918) 743-2882
(918) 745-0323
Mailing address
7134 S YALE AVE, SUITE 450, TULSA, OK 74136-6372
(918) 743-2882
(918) 745-0323
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100137280A
—
OK
01
—
1851318497
NPI
OK
01
—
448664025001
BCBS
—
01
—
DP2445
RAILROAD MEDICARE
OK
Enumeration date
07/17/2006
Last updated
09/28/2009
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