Most Relevant Information
Provider Data
| NPI Number: | 1003480500 |
| Provider Name: | CAITLIN TUESDAE COX |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/18/2021 |
| Last Updated: | 06/14/2021 |
Provider Practice Location
4420 N LINCOLN BLVD
OKLAHOMA CITY
OK
731055104
Practice Location Phone/Fax
| Phone: | 4054250421 |
| Fax: |
Provider Mailing Location
1421 NW 185TH ST
EDMOND
OK
730124041
Provider Mailing Phone/Fax
| Phone: | 4058880259 |
| Fax: |