Graduated: 2020
NPI: 1477163087
Practice Locations (4)
1145 S UTICA AVE, SUITE 110
TULSA, OK 741044013
1323 E 71ST ST
TULSA, OK 741365045
PO BOX, SUITE 690117
TULSA, OK 74169
PO BOX, SUITE 700360
TULSA, OK 74170
Source: CMS National Downloadable File, September 2026.