Provider Demographics
NPI:1861624074
Name:TULSA ONLY CHOICE INC
Entity type:Organization
Organization Name:TULSA ONLY CHOICE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:H
Authorized Official - Last Name:DENHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-708-5292
Mailing Address - Street 1:7107 S YALE AVE
Mailing Address - Street 2:SUITE 372
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-6308
Mailing Address - Country:US
Mailing Address - Phone:405-708-5292
Mailing Address - Fax:918-512-4199
Practice Address - Street 1:3705 NW 63RD ST
Practice Address - Street 2:SUITE 101
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-1935
Practice Address - Country:US
Practice Address - Phone:405-708-5292
Practice Address - Fax:918-512-4199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK37D1051831291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory