Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeastern Oklahoma Advanced Neurotherapeutics LLC

Organization Neurology Physician · NPI 1891026902

Northeastern Oklahoma Advanced Neurotherapeutics LLC is a Neurology Physician in Bartlesville, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2010.

Licensed in
OK
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3450 E Frank Phillips Blvd Ste 100
Bartlesville, OK 74006-2406
Phone: (918) 338-3781
Fax: (918) 338-3782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 25610 (OK)

Record details

NPI number1891026902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Lajara-Nanson — Sole Member · (918) 338-3781
NPI enumeratedJanuary 29, 2010
Last updated in NPPESJanuary 29, 2010
Mailing address3450 E Frank Phillips Blvd, Suite 100, Bartlesville, OK 74006-2406

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