Healthcare Provider Details

I. General information

NPI: 1639141724
Provider Name (Legal Business Name): RITA WESTENHAVER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RITA SLATER DO

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8115 S MEMORIAL DR
TULSA OK
74133-4331
US

IV. Provider business mailing address

8115 S MEMORIAL DR
TULSA OK
74133-4331
US

V. Phone/Fax

Practice location:
  • Phone: 918-254-6315
  • Fax: 918-403-6315
Mailing address:
  • Phone: 918-254-6315
  • Fax: 918-403-6315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2731
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2731
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number2731
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: