Healthcare Provider Details

I. General information

NPI: 1861349912
Provider Name (Legal Business Name): DANIEL FARIAS ALVAREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DANIEL FARIAS-ALVAREZ

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 W 7TH ST STE 2520
TULSA OK
74119-1104
US

IV. Provider business mailing address

5520 S NORFOLK AVE
TULSA OK
74105-6814
US

V. Phone/Fax

Practice location:
  • Phone: 918-579-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number229692
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: