Provider Demographics
NPI:1548592132
Name:NEURA CARE GLOBAL OF TULSA LLC
Entity Type:Organization
Organization Name:NEURA CARE GLOBAL OF TULSA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:918-574-4774
Mailing Address - Street 1:7737 E 42ND PL STE G
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-4728
Mailing Address - Country:US
Mailing Address - Phone:918-896-4413
Mailing Address - Fax:
Practice Address - Street 1:1242 S MEMORIAL DR APT B4
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74112-6010
Practice Address - Country:US
Practice Address - Phone:918-836-9335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-05
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care