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ALLERGY CLINIC OF TULSA INC. NPI 1538270954


NPI Information

NPI: 1538270954
Provider Name: ALLERGY CLINIC OF TULSA, INC.
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

CLIA Number: 37D2133292

Address:
9311 S MINGO RD
TULSA, OK
ZIP 74133
Phone: (918) 307-1613
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ALLERGY CLINIC OF TULSA, INC. is an allergy allergy immunology in Tulsa, OK. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee ALLERGY CLINIC OF TULSA, INC. NPI is 1538270954. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9311 S MINGO RD
TULSA, OK
ZIP 74133-702
Phone: (918) 307-1613
Fax: (918) 307-2454

The provider's authorized official is Angela Thomas .
The authorized official title is Business Office Manager and has the following contact phone number (918) 307-1613.

The CLIA number assigned to this NPI record is 37D2133292 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/27/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KA0200XAllergy & ImmunologyAllergyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16713610001OTHEROKLAHOMAMEDICARE DMERC PTAN
2=========MEDICARE PINOKLAHOMA

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: 4/28/2024

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