Healthcare Provider Details

I. General information

NPI: 1417927815
Provider Name (Legal Business Name): JAMES A COMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 11/18/2021
Certification Date: 11/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6465 S YALE AVE STE 202
TULSA OK
74136-7804
US

IV. Provider business mailing address

6465 S YALE AVE STE 202
TULSA OK
74136-7804
US

V. Phone/Fax

Practice location:
  • Phone: 918-935-3350
  • Fax: 877-369-5351
Mailing address:
  • Phone: 918-935-3350
  • Fax: 877-369-5351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number19709
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberM-16168
License Number StateID
# 3
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberE-7831
License Number StateAR
# 4
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number19709
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: