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NPI Code Detail

MEDICARE: TONYA R. HILEMAN L.P.C., L.B.P.

MEDICARE: TONYA R. HILEMAN L.P.C., L.B.P.
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
1101YP2500XProfessional Counselor3065OK

General Provider Information

NPI Number : 1720006216
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONYA R. HILEMAN L.P.C., L.B.P.
Provider Business Mailing Address
First Line : 2531 NW 45TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-8305
Country : US
Telephone Number : 405-615-5987
Fax Number : 405-427-4703
Provider Business Practice Location Address
First Line : 2828 NW 57TH ST
Second Line : SUITE 302
City : OKLAHOMA CITY
State : OK
Zip : 73112-6814
Country : US
Telephone Number : 405-615-5987
Fax Number : 405-427-4703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 07/08/2007

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