Individual
SCHUYLER THOMAS VAN EMBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2838 E 101ST ST, TULSA, OK 74137-5601
(918) 978-8159
Mailing address
7373 N 199TH EAST AVE, OWASSO, OK 74055-5869
(918) 949-5194
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209900
OK
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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