Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 19370 | OK |
N | 111NI0900X | Internist | 19370 | OK |
Y | 207RH0002X | Hospice and Palliative Medicine | 19370 | OK |
N | 207RN0300X | Nephrologist | 19370 | OK |
NPI | 1194740498 |
---|---|
Provider Name | David Douglas Schram |
First Address | Tulsa, OK 74104-5410 |
Second Address | Tulsa, OK 74104-5405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 22/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100091000A | (05) | OK |
F45116 | (02) |