MEDICARE: TULSA HEART SPECIALISTS, PLLC

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	207RI0011X	Interventional Cardiology Physician

General Provider Information

NPI Number	:	1720843949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TULSA HEART SPECIALISTS, PLLC

Provider Business Mailing Address
First Line	:	7912 E 31ST CT STE 320
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74145-1305
Country	:	US
Telephone Number	:	918-496-8499
Fax Number	:	918-496-0152

Provider Business Practice Location Address
First Line	:	7912 E 31ST CT STE 320
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74145-1305
Country	:	US
Telephone Number	:	918-496-8499
Fax Number	:	918-496-0152

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	SARAH LYNN BROWN
Credential	:
Telephone Number	:	918-944-9197

Provider Enumeration Date	:	02/16/2024
Last Update Date	:	02/16/2024

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Directions to “TULSA HEART SPECIALISTS, PLLC ” Practice Location

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