Provider Demographics
NPI:1114452323
Name:CROOKS, SONIA
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:CROOKS
Suffix:
Gender:F
Credentials:
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 703099
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74170-3099
Mailing Address - Country:US
Mailing Address - Phone:918-851-4671
Mailing Address - Fax:
Practice Address - Street 1:7906 S UTICA AVE
Practice Address - Street 2:APT 4D
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7653
Practice Address - Country:US
Practice Address - Phone:918-851-4671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist