Healthcare Provider Details

I. General information

NPI: 1013164268
Provider Name (Legal Business Name): LEILA DANIELLE SEE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 W 9TH ST
TULSA OK
74127-9020
US

IV. Provider business mailing address

744 W 9TH ST
TULSA OK
74127-9020
US

V. Phone/Fax

Practice location:
  • Phone: 981-599-5031
  • Fax:
Mailing address:
  • Phone: 981-599-5031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number4684
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number4684
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: