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NPI Code Detail

MEDICARE: OKLAHOMA TREATMENT SERVICES LLC

MEDICARE: OKLAHOMA TREATMENT SERVICES LLC
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
1261QM2800XMethadone Clinic
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1306277082
Entity Type Code : Organization
Provider Name (Legal Business Name) : OKLAHOMA TREATMENT SERVICES LLC
Provider Business Mailing Address
First Line : 7134 S YALE AVE STE 560
Second Line :
City : TULSA
State : OK
Zip : 74136-6352
Country : US
Telephone Number : 405-922-7750
Fax Number :
Provider Business Practice Location Address
First Line : 3445 S SHERIDAN RD
Second Line :
City : TULSA
State : OK
Zip : 74145-1105
Country : US
Telephone Number : 918-610-3366
Fax Number : 918-610-3344
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : KORDARYL THOMAS
Credential :
Telephone Number : 720-689-4706
Provider Enumeration Date : 12/06/2013
Last Update Date : 01/12/2026

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Directions to “OKLAHOMA TREATMENT SERVICES LLC ” Practice Location

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