Organization
OKTX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYROSE REASTON PHD (FOUNDER)
(702) 234-1014
Entity
Organization
Contact information
Practice address
7225 S 85TH EAST AVE, SUITE 300, TULSA, OK 74133-3157
(702) 234-1014
Mailing address
7225 S 85TH EAST AVE, SUITE 300, TULSA, OK 74133-3157
(702) 234-1014
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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