Healthcare Provider Details

I. General information

NPI: 1215713235
Provider Name (Legal Business Name): HOPE PRICE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2023
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7127 S OLYMPIA AVE
TULSA OK
74132-1856
US

IV. Provider business mailing address

PO BOX 95469
GRAPEVINE TX
76099-9700
US

V. Phone/Fax

Practice location:
  • Phone: 918-665-9500
  • Fax: 918-665-9512
Mailing address:
  • Phone: 405-724-0574
  • Fax: 405-849-4105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5644
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: