Provider Demographics
NPI:1235344557
Name:TULSA PULMONARY AND ALLERGY CONSULTANTS INC
Entity Type:Organization
Organization Name:TULSA PULMONARY AND ALLERGY CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:NEUL
Authorized Official - Last Name:PLOST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-748-8381
Mailing Address - Street 1:1725 EAST 19TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5418
Mailing Address - Country:US
Mailing Address - Phone:918-748-8381
Mailing Address - Fax:918-748-8397
Practice Address - Street 1:1725 EAST 19TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-5418
Practice Address - Country:US
Practice Address - Phone:918-748-8381
Practice Address - Fax:918-748-8397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty