Healthcare Provider Details

I. General information

NPI: 1740143973
Provider Name (Legal Business Name): BRITTANY DANIELS HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6717 S YALE AVE STE 204
TULSA OK
74136-3328
US

IV. Provider business mailing address

6717 S YALE AVE STE 204
TULSA OK
74136-3328
US

V. Phone/Fax

Practice location:
  • Phone: 918-834-3933
  • Fax: 918-834-7490
Mailing address:
  • Phone: 918-834-3933
  • Fax: 918-834-7490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHADF1465
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: