Provider Demographics
NPI:1437113123
Name:CHRISTY, ANGELA D (DO)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:D
Last Name:CHRISTY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 E 68TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3305
Mailing Address - Country:US
Mailing Address - Phone:918-960-2827
Mailing Address - Fax:918-960-2824
Practice Address - Street 1:5010 E 68TH ST STE 200
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-3305
Practice Address - Country:US
Practice Address - Phone:918-960-2827
Practice Address - Fax:918-960-2824
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3713207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200013810AMedicaid
OK200013810AMedicaid
243434204Medicare ID - Type Unspecified