Healthcare Provider Details

I. General information

NPI: 1922443811
Provider Name (Legal Business Name): VETERAN AFFAIRS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2013
Last Update Date: 05/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4303 PITMAN & THOMAS
FORT SILL OK
73503
US

IV. Provider business mailing address

4303 PITMAN & THOMAS
FORT SILL OK
73503-1931
US

V. Phone/Fax

Practice location:
  • Phone: 405-209-6919
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code286500000X
TaxonomyMilitary Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTINA ALMSTROM WHELAN
Title or Position: PSYCHOLOGIST
Credential:
Phone: 405-209-6919