Healthcare Provider Details

I. General information

NPI: 1033842786
Provider Name (Legal Business Name): ROCIO ZYGAI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2022
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 S PEORIA AVE
TULSA OK
74120-4429
US

IV. Provider business mailing address

1305 W 113TH ST S
JENKS OK
74037-2034
US

V. Phone/Fax

Practice location:
  • Phone: 602-761-6758
  • Fax:
Mailing address:
  • Phone:
  • 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: