Individual
AYLA EGHBALPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(405) 744-5358
Mailing address
8701 BLACKWATER CREEK TRL, MCKINNEY, TX 75070-6881
(469) 422-1021
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/31/2025
Last updated
05/31/2025
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