Provider Demographics
NPI:1336911916
Name:PARSONS, CHARLES ALEXANDER
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:ALEXANDER
Last Name:PARSONS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2923 E 97TH CT APT 2410
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-7385
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:OU PHYSICIANS-TULSA, SCHOOL OF COMMUNITY MEDICINE
Practice Address - Street 2:4444 EAST 41ST ST
Practice Address - City:TULSA
Practice Address - State:OH
Practice Address - Zip Code:74135
Practice Address - Country:US
Practice Address - Phone:918-619-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-26
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program