Headache Specialists Of Oklahoma Pllc

LBN: Headache Specialists Of Oklahoma Pllc
Headache Specialists Of Oklahoma Pllc is an health care organization with primary practice located at 1516 S Yorktown Pl , Tulsa OK 74104-4918. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Headache Specialists Of Oklahoma Pllc can be contacted via phone (918) 574-8725, or through Duvall, Jaclyn R via phone (918) 574-8725.

Contact Information

Primary practice address
1516 S Yorktown Pl Tulsa OK 74104-4918
Phone: (918) 574-8725
Fax: (918) 574-8861
Website:
Map and Directions
Authorized official contact:
Name: Duvall, Jaclyn R Doctor of Medicine (MD)
Phone: (918) 574-8725

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X

Profile Details

NPI number 1417685538
LBN Legal business name Headache Specialists Of Oklahoma Pllc
DBA Doing business as
Authorized official Duvall, Jaclyn R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2022
Last updated May 16th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417685538 NPPES
Oklahoma MEDICAID 200444390B

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