NPI 1104039437
Green Country Sports Physical Medicine and Rehab PC
Practice location
- Address
- 8803 S 101st East Ave Suite#290, Tulsa, OK 74133-5726
- Phone
- (918) 459-9500
- Fax
- (918) 459-0995
Authorised official
- Name
- Srikanth K Reddy
- Title
- Presedent
- Phone
- (918) 459-9500
Registered specialties
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Registry record
- NPI
- 1104039437
- Entity type
- Organization
- NPI issued
- 7 May 2007
- Record last updated
- 6 Nov 2007
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.