MEDICARE: MR. ALONZO TALTON II LADC/MH

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	1481	OK

General Provider Information

NPI Number	:	1760963987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALONZO TALTON II LADC/MH

Provider Business Mailing Address
First Line	:	2919 EMBASSY ROW
Second Line	:
City	:	FLOSSMOOR
State	:	IL
Zip	:	60422-2209
Country	:	US
Telephone Number	:	925-303-5807
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 W 6TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74119-5415
Country	:	US
Telephone Number	:	918-295-5055
Fax Number	:

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

Provider Enumeration Date	:	08/25/2018
Last Update Date	:	02/17/2025

Similar Medicare Providers

1114912128 — PAUL B STRAHAN DDS INC
Practice Location Address:

15 W 6TH ST , STE 1615
TULSA, OK
74119-5415

Practice Phone: 918-587-1303
Practice Fax: 918-587-6360

1871767889 — CLINTON D. STEVENS, DDS, INC, PC
Practice Location Address:

15 W 6TH ST , SUITE 1615
TULSA, OK
74119-5415

Practice Phone: 918-587-1303
Practice Fax: 918-587-6360

1679532170 — SUZANNE RENEE OLIVE MD
Practice Location Address:

1725 E 19TH ST , STE 200
TULSA, OK
74104-5415

Practice Phone: 918-748-8381
Practice Fax: 918-748-8397

1194185504 — GUARDIAN PHARMACY OF TULSA, LLC
Practice Location Address:

5415 S 125TH EAST AVE , SUITE 201-203
TULSA, OK
74146-6232

Practice Phone: 866-237-8217
Practice Fax: 855-711-3900

1922572809 — ENDOVASCULAR CONSULTING SOLUTIONS
Practice Location Address:

1705 E 19TH ST STE 410
TULSA, OK
74104-5415

Practice Phone: 918-744-9400
Practice Fax: 918-744-9416

1588523724 — HEATHER ANDERSON
Practice Location Address:

1608 S ELWOOD AVE
TULSA, OK
74119-4208

Practice Phone: 918-587-3888
Practice Fax:

Directions to “ MR. ALONZO TALTON II LADC/MH” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.