Provider Information for 1750446928
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MICHELLE JEAN RIX MHR
Sex: Female
NPI: 1750446928
Last Updated: 2020-08-03
Certification Date: 2020-08-03
Certification Date: 2020-08-03
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1750446928 | ||||||||
| Enumeration Date | 2006-12-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6333 E SKELLY DR TULSA, OK 74135-6106 United States Phone: 918-664-4224 | Fax: | ||||||||
| Primary Practice Address | 1055 S HOUSTON AVE TULSA, OK 74127-9043 United States Phone: 918-921-3200 | Fax: | ||||||||
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