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

Mark Tony Azzam

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518712553

Mark Tony Azzam is a Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2024.

Licensed in
OK
In the registry since
2024

Practice location Address checks out

717 S Houston Ave
Tulsa, OK 74127-9023
Phone: (918) 382-3539
Fax: (918) 382-3529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (OK)

Record details

NPI number1518712553
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2024
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024
Mailing address717 S Houston Ave, Tulsa, OK 74127-9023

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