Healthcare Provider Details

I. General information

NPI: 1174626154
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF ARKANSAS AND EASTERN OKLAHOMA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 08/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E PINE ST STE 5
TULSA OK
74106-4855
US

IV. Provider business mailing address

4401 W 109TH ST STE 200
OVERLAND PARK KS
66211-1303
US

V. Phone/Fax

Practice location:
  • Phone: 855-841-7526
  • Fax:
Mailing address:
  • Phone: 855-841-7526
  • Fax: 918-587-1101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA PARKS
Title or Position: DIRECTOR OF HEALTH SERVICES OPS
Credential:
Phone: 918-587-4621