person
Mrs. Mini George, PA-C
Medical Physician Assistant in Tulsa, Oklahoma
NPI 1447217583

Mini George is a Medical Physician Assistant based in Overland Park, OK and is specialized in Medical. Mini George practices in Tulsa, OK and has the professional credentials of PA-C. The NPI Number for Mini George is 1447217583 and holds a License No. 1334 (Oklahoma).

The current practice location address for Mini George is 10501 E 91St St, Tulsa, OK and can be reached out via phone at 918-307-6920 and via fax at 918-307-6951. You can also correspond with Mini George through the mailing address at PO BOX 25277, OVERLAND PARK, KS - 66225-5277 (mailing address contact number: 918-307-6920).

Location: 10501 E 91St St, Tulsa, OK, 66225-5277
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Provider Profile Details
NPI Number
1447217583
Provider Name
Mini George
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
10501 E 91St St, Tulsa, OK, 66225-5277
Phone Number
918-307-6920
Fax Number
918-307-6951
Provider Enumeration Date
05/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200039230A 05 OK
P00878497 01 MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
10501 E 91St St
City
State
Zip
74133-5790
Phone Number
918-307-6920
Fax Number
918-307-6951
person
Provider Business Mailing Address Details
Address
10501 E 91St St
City
State
Zip
74133-5790
Phone Number
918-307-6920
Fax Number
918-307-6951
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1334 (Oklahoma)
Definition
Definition to come...
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