MEDICARE: ERIC HYDE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YP2500X	Professional Counselor
2	101Y00000X	Counselor
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1033503073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC HYDE

Provider Business Mailing Address
First Line	:	6775 S 326TH EAST AVE
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74014-7583
Country	:	US
Telephone Number	:	918-513-1351
Fax Number	:

Provider Business Practice Location Address
First Line	:	8810 S YALE AVE STE F
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-3551
Country	:	US
Telephone Number	:	918-513-1351
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2015
Last Update Date	:	06/08/2026

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Directions to “ ERIC HYDE ” Practice Location

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