Healthcare Provider Details

I. General information

NPI: 1740323609
Provider Name (Legal Business Name): GARMAN HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4520 S PEORIA AVE
TULSA OK
74105-4563
US

IV. Provider business mailing address

4520 S PEORIA AVE
TULSA OK
74105-4563
US

V. Phone/Fax

Practice location:
  • Phone: 918-742-2300
  • Fax: 918-742-2306
Mailing address:
  • Phone: 918-742-2300
  • Fax: 918-742-2306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number3554
License Number StateOK

VIII. Authorized Official

Name: DR. MICHAEL SHANE GARMAN
Title or Position: PRESIDENT
Credential: D.C.
Phone: 918-742-2300