Search › Oklahoma › 261QM0801X
Angela Short
NPI 1811417934 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2121 S 125th East Ave Ste 106
Tulsa, OK 74129 - Phone
- (918) 574-8442
- Fax
- (918) 591-3955
- Clinicians at this address
- 38
Registry record
- Primary taxonomy
- 261QM0801X
261QM0801X
- Also registered as
- 251B00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-22
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