Provider Demographics
NPI:1376621680
Name:NEUROLOGICAL CENTER OF OKLAHOMA, PLC
Entity Type:Organization
Organization Name:NEUROLOGICAL CENTER OF OKLAHOMA, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-481-4781
Mailing Address - Street 1:6585 S YALE AVE
Mailing Address - Street 2:SUITE 620
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-8384
Mailing Address - Country:US
Mailing Address - Phone:918-481-4781
Mailing Address - Fax:918-481-4796
Practice Address - Street 1:6585 S YALE AVE
Practice Address - Street 2:SUITE 620
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-8384
Practice Address - Country:US
Practice Address - Phone:918-481-4781
Practice Address - Fax:918-481-4796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty