Healthcare Provider Details

I. General information

NPI: 1669663332
Provider Name (Legal Business Name): D. A. TRAUB & CO., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2007
Last Update Date: 08/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7614 E 91ST ST STE 180
TULSA OK
74133-6047
US

IV. Provider business mailing address

7614 E 91ST ST STE 180
TULSA OK
74133-6047
US

V. Phone/Fax

Practice location:
  • Phone: 918-494-9994
  • Fax: 918-494-9745
Mailing address:
  • Phone: 918-494-9994
  • Fax: 918-494-9745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID ALAN TRAUB
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 918-494-9994