BLUE SPARROW WELLNESS LLC NPI 1629724026

NPI Information

NPI: 1629724026
Provider Name: BLUE SPARROW WELLNESS, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4734 S 166TH EAST AVE
TULSA, OK
ZIP 74134
Phone: (918) 895-9550
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BLUE SPARROW WELLNESS, LLC is a general practice in Tulsa, OK. BLUE SPARROW WELLNESS, LLC NPI is 1629724026. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4734 S 166TH EAST AVE
TULSA, OK
ZIP 74134-255
Phone: (918) 895-9550

The provider's authorized official is Charles David Murr .
The authorized official title is Physician and has the following contact phone number (918) 770-2698.

The enumeration date for this NPI number is 2/23/2022 and was last updated on 2/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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