Southwest Neurology Specialist LLC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

SOUTHWEST NEUROLOGY SPECIALIST LLC

Practice address

5711 E 71St St Ste 100
Tulsa, OK 74136-6655

Phone

(918) 888-8080

NPI assigned

Oct 17, 2022

Last updated

Oct 17, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Trey Marler

Title

Manager

Phone

(918) 888-8080

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1427774835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 E 71ST ST STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366655",
            "telephone_number": "918-888-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 E 71ST ST STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366655",
            "telephone_number": "918-888-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST NEUROLOGY SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "MARLER",
        "authorized_official_first_name": "TREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-888-8080"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Pointe Dental and Implants LLC
• Southern Spine Partners LLC
• Southern Spine Services, LLC
• Southerncare, Inc (Southerncare Tulsa)
• Southside Dermatology PLLC
• Southwest Pathology Associates LLC
• Southwest Pathology, Inc
• Southwest Therapry Consultants
• Southwestern Regional Hospital
• Southwestern Regional Medical Center, LLC

• Cognitive & Behavioral Psychologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Cognitive & Behavioral Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.