Provider Demographics
NPI:1619689148
Name:DR ANGELA CHRISTY PLLC
Entity Type:Organization
Organization Name:DR ANGELA CHRISTY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING & CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-960-2827
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty