Provider Demographics
NPI:1730641424
Name:PEARLMAN, PATRICIA IRENE (MS SCIENCE)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:IRENE
Last Name:PEARLMAN
Suffix:
Gender:F
Credentials:MS SCIENCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 691614
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74169-1614
Mailing Address - Country:US
Mailing Address - Phone:918-633-7711
Mailing Address - Fax:
Practice Address - Street 1:1902 S 141ST EAST AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74108-5524
Practice Address - Country:US
Practice Address - Phone:918-633-7711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-02
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist