Healthcare Provider Details

I. General information

NPI: 1295611515
Provider Name (Legal Business Name): TAILOR MADE MEDICAL BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7709 S YALE AVE APT 1006
TULSA OK
74136-9085
US

IV. Provider business mailing address

7709 S YALE AVE APT 1006
TULSA OK
74136-9085
US

V. Phone/Fax

Practice location:
  • Phone: 918-908-4446
  • Fax:
Mailing address:
  • Phone: 918-908-4446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name: MS. LADESHA WHALEY
Title or Position: CEO/ REVENUE CYCLE MANAGER
Credential: CCS
Phone: 918-908-4446