MEDICARE: CHRISTA CALAWAY

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	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1851093496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTA CALAWAY

Provider Business Mailing Address
First Line	:	2700 HASKELL BLVD
Second Line	:
City	:	MUSKOGEE
State	:	OK
Zip	:	74403-3925
Country	:	US
Telephone Number	:	844-458-2100
Fax Number	:

Provider Business Practice Location Address
First Line	:	6128 E 38TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-5832
Country	:	US
Telephone Number	:	844-458-2100
Fax Number	:

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

Provider Enumeration Date	:	03/20/2023
Last Update Date	:	05/05/2026

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Directions to “ CHRISTA CALAWAY ” Practice Location

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