Healthcare Provider Details

I. General information

NPI: 1467718676
Provider Name (Legal Business Name): TONI MICHELLE RAMOS D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DR. TONI MICHELLE SANCHEZ

II. Dates (important events)

Enumeration Date: 04/02/2012
Last Update Date: 07/29/2021
Certification Date: 07/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12020 E 31ST ST
TULSA OK
74146-2001
US

IV. Provider business mailing address

2321 E 3RD ST
TULSA OK
74104-1831
US

V. Phone/Fax

Practice location:
  • Phone: 918-622-0641
  • Fax:
Mailing address:
  • Phone: 186-220-6419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number5435
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: