Healthcare Provider Details

I. General information

NPI: 1801736178
Provider Name (Legal Business Name): WESTON COLE JAMES DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 SOUTHWEST BLVD
TULSA OK
74107-2705
US

IV. Provider business mailing address

2345 SOUTHWEST BLVD
TULSA OK
74107-2705
US

V. Phone/Fax

Practice location:
  • Phone: 918-561-8395
  • Fax:
Mailing address:
  • Phone: 918-561-8395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: