Healthcare Provider Details

I. General information

NPI: 1467370882
Provider Name (Legal Business Name): TULSA NEUROPATHY CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7233 S 85TH EAST AVE STE 100
TULSA OK
74133-3137
US

IV. Provider business mailing address

7233 S 85TH EAST AVE STE 100
TULSA OK
74133-3137
US

V. Phone/Fax

Practice location:
  • Phone: 918-740-9476
  • Fax: 800-811-3612
Mailing address:
  • Phone: 918-740-9476
  • Fax: 800-811-3612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD R BROWN JR.
Title or Position: CEO
Credential:
Phone: 918-720-4957