Search › Oklahoma › 171M00000X
Aundra Fuller
NPI 1790046654 · on the registry since 2012 · sole proprietor
Practice
- Address
- 10922 E. 39th St.
Tulsa, OK 74146 - Phone
- (918) 282-6850
- Organisation at this address
- Family And Children Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 103K00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-06-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma