1043645385 NPI number — MRS. CHRISTINA CATHERINE AKBARI M.A.

Table of content: MRS. CHRISTINA CATHERINE AKBARI M.A. (NPI 1043645385)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043645385 NPI number — MRS. CHRISTINA CATHERINE AKBARI M.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AKBARI
Provider First Name:
CHRISTINA
Provider Middle Name:
CATHERINE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
VAN MARION
Provider Other First Name:
CHRISTINA
Provider Other Middle Name:
CATHERINE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1043645385
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/05/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7898 E 126TH ST S APT 926
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BIXBY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74008-2210
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
409-466-3935
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
700 N GREENWOOD AVE
Provider Second Line Business Practice Location Address:
NORTH HALL 391
Provider Business Practice Location Address City Name:
TULSA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74106-0702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-594-8573
Provider Business Practice Location Address Fax Number:
918-594-8113
Provider Enumeration Date:
09/05/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  4131 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 235Z00000X , with the licence number: 15629 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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