Provider Demographics
NPI:1669459160
Name:FRANDEN, CHRISTINE (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:FRANDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 E 19TH ST
Mailing Address - Street 2:STE 302
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5407
Mailing Address - Country:US
Mailing Address - Phone:918-296-8060
Mailing Address - Fax:918-516-0445
Practice Address - Street 1:1819 E 19TH ST
Practice Address - Street 2:STE 302
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-5407
Practice Address - Country:US
Practice Address - Phone:918-742-0552
Practice Address - Fax:918-747-3177
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK21974207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKH92399Medicare UPIN
OK249326002Medicare PIN