NPI Code Details Logo

NPI 1649599473

NPI 1649599473 : LESLIE M CHING DO : TULSA, OK

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1649599473
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LESLIE M CHING DO
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/18/2010
-----------------------------------------------------
    Last Update Date     |    02/13/2019
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2345 SOUTHWEST BLVD 
-----------------------------------------------------
    City                 |    TULSA
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    74107-2705
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    918-561-1131
-----------------------------------------------------
    Fax                  |    918-561-1140
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2345 SOUTHWEST BLVD 
-----------------------------------------------------
    City                 |    TULSA
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    74107-2705
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    918-561-1131
-----------------------------------------------------
    Fax                  |    918-561-1140
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    5328
-----------------------------------------------------
    License Number State |    OK
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    204D00000X
-----------------------------------------------------
    Taxonomy Name        |    Neuromusculoskeletal Medicine & OMM Physician
-----------------------------------------------------
    License Number       |    5328
-----------------------------------------------------
    License Number State |    OK
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.