NPI 1194763607 · live from the CMS NPI Registry
Christy A. Beasley, PA C
Physician Assistant in Tulsa, OK. National Provider Identifier 1194763607, active.
NPI record
| NPI | 1194763607 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 11212 E 48th St, Tulsa, OK 74146 |
| Practice phone | 918-556-3000 |
| Mailing address | 6600 S Yale Ave Ste 1400, Tulsa, OK 74136 |
| Enumerated | June 4, 2006 |
| Last updated | May 8, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 1286 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.