Revelation Medical Of Tulsa Llc

LBN: Revelation Medical Of Tulsa Llc
Revelation Medical Of Tulsa Llc is an health care organization with primary practice located at 4636 S Harvard Ave Ste 104 , Tulsa OK 74135-2908. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Revelation Medical Of Tulsa Llc can be contacted via phone (918) 742-4005, or through Linn, James Warren via phone (918) 742-4005.

Contact Information

Primary practice address
4636 S Harvard Ave Ste 104 Tulsa OK 74135-2908
Phone: (918) 742-4005
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Linn, James Warren
Phone: (918) 742-4005

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1366194110
LBN Legal business name Revelation Medical Of Tulsa Llc
DBA Doing business as
Authorized official Linn, James Warren
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2022
Last updated Oct 3rd, 2023 - 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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