Basic Information
Provider Information
NPI: 1316931488
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAY
FirstName: ANNE
MiddleName: S
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2140 S YALE AVE
Address2:  
City: TULSA
State: OK
PostalCode: 741142122
CountryCode: US
TelephoneNumber: 9187129342
FaxNumber: 9187129386
Practice Location
Address1: 2140 S YALE AVE
Address2:  
City: TULSA
State: OK
PostalCode: 741142122
CountryCode: US
TelephoneNumber: 9187129342
FaxNumber: 9187129386
Other Information
ProviderEnumerationDate: 09/06/2005
LastUpdateDate: 06/16/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X23758OKY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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