Tulsa Cancer Institute Pllc

LBN: Tulsa Cancer Institute Pllc
Tulsa Cancer Institute Pllc is an health care organization with primary practice located at 12697 E 51St St , Tulsa OK 74146-6236. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty. Tulsa Cancer Institute Pllc can be contacted via phone (918) 505-3200, or through Street, Daron G. via phone (918) 505-3200.

Contact Information

Primary practice address
12697 E 51St St Tulsa OK 74146-6236
Phone: (918) 505-3200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Street, Daron G. Doctor of Medicine (MD)
Phone: (918) 505-3200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X

Profile Details

NPI number 1508172982
LBN Legal business name Tulsa Cancer Institute Pllc
DBA Doing business as
Authorized official Street, Daron G. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2010
Last updated May 8th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508172982 NPPES
Oklahoma MEDICAID 200412430A

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