Organization
OKLAHOMA PHS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA NOAH (REVENUE CYCLE MANAGER)
96012614843
Entity
Organization
Contact information
Practice address
9155 CRESTWYN HILLS DR, MEMPHIS, TN 38125-8501
(901) 261-4843
(901) 261-4849
Mailing address
9155 CRESTWYN HILLS DR, MEMPHIS, TN 38125-8501
(901) 261-4843
(901) 261-4849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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