NPI 1992154314
Gateway Monitoring Specialities, LLC
Practice location
- Address
- 9521 Riverside Pkwy #338, Tulsa, OK 74137-7418
- Phone
- (918) 895-7680
- Mailing address
- PO Box 268977, Oklahoma City, OK 73126-8977
Authorised official
- Name
- Trase Mahan
- Title
- Manager
- Phone
- (214) 675-0905
Registered specialties
Electrodiagnostic Medicine Physician
Primary
Registry record
- NPI
- 1992154314
- Entity type
- Organization
- NPI issued
- 7 Jun 2016
- Record last updated
- 7 Jun 2016
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.