Provider Demographics
NPI:1851114615
Name:TRUJILLO MULTI-HEALTHCARE LLC
Entity type:Organization
Organization Name:TRUJILLO MULTI-HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUJILLO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-BC, BC-ADM
Authorized Official - Phone:918-584-8947
Mailing Address - Street 1:5561 E 41ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-6008
Mailing Address - Country:US
Mailing Address - Phone:918-584-8947
Mailing Address - Fax:918-584-8973
Practice Address - Street 1:5561 E 41ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-6008
Practice Address - Country:US
Practice Address - Phone:918-584-8947
Practice Address - Fax:918-584-8973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Multi-Specialty