Healthcare Provider Details

I. General information

NPI: 1831031012
Provider Name (Legal Business Name): RIVER PASS MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8211 E REGAL PL STE 100
TULSA OK
74133-7181
US

IV. Provider business mailing address

8211 E REGAL PL STE 100
TULSA OK
74133-7181
US

V. Phone/Fax

Practice location:
  • Phone: 918-430-4298
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LINDSAY ALLISON FRANK
Title or Position: OWNER
Credential: DNP, FNP, PMHNP
Phone: 918-430-4298