Whalio Doctors

NPI 1114435666

Bristow Endeavor Healthcare, LLC

Organisation Special Hospital Jenks,, OK

Practice location

Address
3029 W. Main Street, Jenks,, OK 74037
Phone
(918) 701-2300
Fax
(918) 417-7104
Mailing address
1809 E 13th St STE 300, Tulsa, OK 74104-4431

Authorised official

Name
Melinda Kay Whitaker
Title
Credentialing Coordinator
Phone
(918) 701-2313

Registered specialties

Special Hospital Primary
Hospitals Taxonomy 284300000X

Registry record

NPI
1114435666
Entity type
Organization
NPI issued
18 Jan 2018
Record last updated
18 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.