NPI 1003466103
Deshaun Lamar Mootry
Practice location
- Address
- 1 W 36th St N, Tulsa, OK 74106-1700
- Phone
- (918) 425-4200
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003466103
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Sep 2019
- Record last updated
- 10 Nov 2020
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.