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D. A. TRAUB & CO. INC. NPI 1669663332


NPI Information

NPI: 1669663332
Provider Name: D. A. TRAUB & CO., INC.

Doing Business As: HERITAGE MEDICAL CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 37D2205363

Address:
7614 E 91ST ST
STE 180
TULSA, OK
ZIP 74133
Phone: (918) 494-9994
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D. A. TRAUB & CO., INC. is a clinic center in Tulsa, OK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). D. A. TRAUB & CO., INC. NPI is 1669663332. The provider is registered as an organization entity type.
The provider Is Doing Business As Heritage Medical Clinic.

The provider's business location address is:

7614 E 91ST ST
STE 180
TULSA, OK
ZIP 74133-047
Phone: (918) 494-9994
Fax: (918) 494-9745

The provider's authorized official is David Alan Traub .
The authorized official title is President/owner and has the following contact phone number (918) 494-9994.

The CLIA number assigned to this NPI record is 37D2205363 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2007 and was last updated on 8/7/2007.


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
1261Q00000XClinic/CenterYes

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: 5/5/2024

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