| Confortamini In Sacrificio Tuo Llc | |
| 
					2416 W 51st St Tulsa OK 74107-7700  | |
| (713) 816-2522 | |
| Not Available | 
| Full Name | Confortamini In Sacrificio Tuo Llc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 2416 W 51st St, Tulsa, Oklahoma | 
| Authorized Official Name and Position | Ryan Reynolds (FOUNDER AND CEO) | 
| Authorized Official Contact | 7138162522 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Confortamini In Sacrificio Tuo Llc Po Box 701743 Tulsa OK 74170-1743 Ph: (713) 816-2522  | Confortamini In Sacrificio Tuo Llc 2416 W 51st St Tulsa OK 74107-7700 Ph: (713) 816-2522  | 
| NPI Number | 1508634692 | 
|---|---|
| Provider Enumeration Date | 12/18/2023 | 
| Last Update Date | 08/13/2024 | 
| Medicare PECOS PAC ID | 2567904089 | 
|---|---|
| Medicare Enrollment ID | O20240611003892 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508634692 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
| Provider Name | Ryan Reynolds | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1114459278 PECOS PAC ID: 9537585989 Enrollment ID: I20220708000238  | 
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