Healthcare Provider Details

I. General information

NPI: 1245859578
Provider Name (Legal Business Name): LIUYI CHEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2020
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 N 9TH ST
BROKEN ARROW OK
74012-8898
US

IV. Provider business mailing address

110 W 7TH ST STE 2520
TULSA OK
74119-1104
US

V. Phone/Fax

Practice location:
  • Phone: 918-355-7900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number41461
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: