Most Relevant Information
Provider Data
| NPI Number: | 1003376880 |
| Provider Name: | DEREK SROUJI |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/20/2019 |
| Last Updated: | 11/05/2024 |
Provider Practice Location
744 W 9TH ST
TULSA
OK
741279020
Practice Location Phone/Fax
| Phone: | 4053239423 |
| Fax: |
Provider Mailing Location
717 S HOUSTON AVE STE 400
TULSA
OK
741279007
Provider Mailing Phone/Fax
| Phone: | 9185827711 |
| Fax: |