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NPI Code Detail

MEDICARE: RENEA JOLENE BANKS

MEDICARE: RENEA JOLENE BANKS
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1487416434
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEA JOLENE BANKS
Provider Business Mailing Address
First Line : 6333 E SKELLY DR
Second Line :
City : TULSA
State : OK
Zip : 74135-6101
Country : US
Telephone Number : 580-850-0959
Fax Number :
Provider Business Practice Location Address
First Line : 6333 E SKELLY DR
Second Line :
City : TULSA
State : OK
Zip : 74135-6101
Country : US
Telephone Number : 580-850-0959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2024
Last Update Date : 03/19/2025

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Directions to “ RENEA JOLENE BANKS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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