Provider Demographics
NPI:1700982634
Name:EASTERN OKLAHOMA CENTER FOR WOMEN INC
Entity Type:Organization
Organization Name:EASTERN OKLAHOMA CENTER FOR WOMEN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V P OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:AUDRA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GIVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-502-3629
Mailing Address - Street 1:PO BOX 700390
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74170-0390
Mailing Address - Country:US
Mailing Address - Phone:918-502-3629
Mailing Address - Fax:918-502-3627
Practice Address - Street 1:6465 S YALE AVE
Practice Address - Street 2:STE 515
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7823
Practice Address - Country:US
Practice Address - Phone:918-502-3629
Practice Address - Fax:918-502-3627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty