Provider Demographics
NPI:1568875680
Name:TOTH, CHRISTY (CAC)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:TOTH
Suffix:
Gender:F
Credentials:CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1164 N 159TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74116-2812
Mailing Address - Country:US
Mailing Address - Phone:918-704-4302
Mailing Address - Fax:
Practice Address - Street 1:1164 N 159TH EAST AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74116-2812
Practice Address - Country:US
Practice Address - Phone:918-704-4302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0210171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist