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NPI Code Detail

MEDICARE: DURAI HOLDINGS, PA

MEDICARE: DURAI HOLDINGS, PA
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1246ZS0410XSurgical Technologist

General Provider Information

NPI Number : 1154671907
Entity Type Code : Organization
Provider Name (Legal Business Name) : DURAI HOLDINGS, PA
Provider Business Mailing Address
First Line : PO BOX 248820
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73124-8820
Country : US
Telephone Number : 918-895-7680
Fax Number : 918-236-4646
Provider Business Practice Location Address
First Line : 9521 B RIVERSIDE PARKWAY #338
Second Line :
City : TULSA
State : OK
Zip : 74137-7422
Country : US
Telephone Number : 918-895-7680
Fax Number : 918-236-4646
Authorized Official
Title or Position : BILLING
Name : CRISTI VINSON
Credential :
Telephone Number : 918-895-7680
Provider Enumeration Date : 09/19/2012
Last Update Date : 10/16/2018

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