Provider Demographics
NPI:1780972224
Name:TULSA UROLOGY PLC
Entity type:Organization
Organization Name:TULSA UROLOGY PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:B
Authorized Official - Last Name:SAINT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-872-9611
Mailing Address - Street 1:800 W BOISE CIR
Mailing Address - Street 2:#210
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-4906
Mailing Address - Country:US
Mailing Address - Phone:918-872-9611
Mailing Address - Fax:918-872-9962
Practice Address - Street 1:800 W BOISE CIR
Practice Address - Street 2:#210
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-4906
Practice Address - Country:US
Practice Address - Phone:918-872-9611
Practice Address - Fax:918-872-9962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-19
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK17425174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty