Whalio Doctors

NPI 1023407376

Life Pace, INC.

Organisation PACE Provider Organization Tulsa, OK

Practice location

Address
902 E Pine St, Tulsa, OK 74106-5928
Phone
(918) 664-9000
Mailing address
5950 E 31st St, Tulsa, OK 74135-5114

Authorised official

Name
Billy Earl Copeland
Title
Chief Financial Officer
Phone
(918) 938-7606

Registered specialties

PACE Provider Organization Primary
Agencies Taxonomy 251T00000X Licence H6941 (OK)

Registry record

NPI
1023407376
Entity type
Organization
NPI issued
9 Jan 2015
Record last updated
10 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.