Healthcare Provider Details

I. General information

NPI: 1750387395
Provider Name (Legal Business Name): JAMES CURTIS CONNORS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 08/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6839 S CANTON AVE
TULSA OK
74136-3402
US

IV. Provider business mailing address

5727 E 106TH ST
TULSA OK
74137-7039
US

V. Phone/Fax

Practice location:
  • Phone: 918-494-0612
  • Fax: 918-494-0881
Mailing address:
  • Phone: 918-299-6547
  • Fax: 918-494-1881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number11752
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: