Healthcare Provider Details

I. General information

NPI: 1720843949
Provider Name (Legal Business Name): TULSA HEART SPECIALISTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2024
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7912 E 31ST CT STE 320
TULSA OK
74145-1305
US

IV. Provider business mailing address

7912 E 31ST CT STE 320
TULSA OK
74145-1305
US

V. Phone/Fax

Practice location:
  • Phone: 918-496-8499
  • Fax: 918-496-0152
Mailing address:
  • Phone: 918-496-8499
  • Fax: 918-496-0152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SARAH LYNN BROWN
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 918-944-9197