Most Relevant Information
Provider Data
| NPI Number: | 1003465246 |
| Provider Name: | JERRY LEE MANUS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/10/2019 |
| Last Updated: | 09/10/2019 |
Provider Practice Location
6333 E SKELLY DR
TULSA
OK
741356106
Practice Location Phone/Fax
| Phone: | 9186644224 |
| Fax: |
Provider Mailing Location
6333 E SKELLY DR
TULSA
OK
741356106
Provider Mailing Phone/Fax
| Phone: | 9186644224 |
| Fax: |