Individual provider · Type 1 NPI

Derek Srouji

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1003376880 Active

Practice location

744 W 9th St
Tulsa, OK 74127-9020

Mailing address

717 S Houston Ave Ste 400
Tulsa, OK 74127-9007

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003376880

Derek Srouji's National Provider Identifier is 1003376880, issued on Mar 20, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Nov 5, 2024.