MEDICARE: MR. CURTIS E DIGGS JR. CASE MANAGER II

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1336480433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CURTIS E DIGGS JR. CASE MANAGER II

Provider Business Mailing Address
First Line	:	5310 E 31ST ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-5012
Country	:	US
Telephone Number	:	918-600-3100
Fax Number	:	918-560-1399

Provider Business Practice Location Address
First Line	:	6539 E 31ST ST
Second Line	:	SUITE 4B
City	:	TULSA
State	:	OK
Zip	:	74145-1242
Country	:	US
Telephone Number	:	918-392-4965
Fax Number	:	918-392-4966

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

Provider Enumeration Date	:	03/14/2013
Last Update Date	:	06/29/2024

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