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

Revelation Medical of Tulsa LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1366194110

Revelation Medical of Tulsa LLC is a Pain Medicine (Anesthesiology) Physician in Tulsa, Oklahoma. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
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

4636 S Harvard Ave Ste 104
Tulsa, OK 74135-2908
Phone: (918) 742-4005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X
Family Medicine Physician Taxonomy 207Q00000X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1366194110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Linn — Authorized Official · (918) 742-4005
NPI enumeratedJanuary 24, 2022
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023
Mailing address4636 S Harvard Ave Ste 104, Tulsa, OK 74135-2908

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