Provider Demographics
NPI:1265615744
Name:BARRETT, ALVA GAIL
Entity type:Individual
Prefix:MISS
First Name:ALVA
Middle Name:GAIL
Last Name:BARRETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E 41ST ST
Mailing Address - Street 2:#24
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-3827
Mailing Address - Country:US
Mailing Address - Phone:918-378-4426
Mailing Address - Fax:
Practice Address - Street 1:7010 S YALE AVE STE 215
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-5743
Practice Address - Country:US
Practice Address - Phone:918-492-2554
Practice Address - Fax:918-494-9870
Is Sole Proprietor?:No
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist