Tiara Shoals's National Provider Identifier (NPI) Details
Tiara Shoals,
NPI: 1730505439
Enumeration Date: 2014-03-05
Last updated: 2018-07-18
Sole Proprietor: NO
Status: active
Postal Address: 3015 E SKELLY DR, TULSA, OK
Phone: 918-712-0859
Primary Practice Address: 3015 E SKELLY DR, TULSA, OK
Practice's phone: 918-712-0859