Healthcare Provider Details

I. General information

NPI: 1730817784
Provider Name (Legal Business Name): FRANCIS WAYNE DONIA CWIC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2022
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2548 E KENOSHA ST
BROKEN ARROW OK
74014-6712
US

IV. Provider business mailing address

4103 S YALE AVE
TULSA OK
74135-6002
US

V. Phone/Fax

Practice location:
  • Phone: 918-355-0993
  • Fax:
Mailing address:
  • Phone: 918-382-7300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: