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

Marisa Lee Bravo

Individual provider Internal Medicine Physician · NPI 1760001093

Marisa Lee Bravo is an Internal Medicine Physician in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2020.

Licensed in
OK
In the registry since
2020

Practice location Address checks out

4444 E 41st St
Tulsa, OK 74135-2527
Phone: (918) 619-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 41659 (OK)

Record details

NPI number1760001093
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2020
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address4444 E 41st St, Tulsa, OK 74135-2527

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