Healthcare Provider Details

I. General information

NPI: 1801532429
Provider Name (Legal Business Name): THE UMA CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2022
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 S GARNETT RD STE 19
TULSA OK
74129-5106
US

IV. Provider business mailing address

PO BOX 33418
TULSA OK
74153-3418
US

V. Phone/Fax

Practice location:
  • Phone: 918-921-0898
  • Fax:
Mailing address:
  • Phone: 539-589-0435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: DR. CAROLINA HERNANDEZ GANTI
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 539-589-0435