IndividualActive
Chancen Hall
NPI 1396096632 · Pain Medicine (Anesthesiology) Physician · Tulsa, OK
Provider details
- NPI number
- 1396096632
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 94-09638 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Other Technician247200000X
Technologists, Technicians & Other Technical Service Providers
Practice location
3840 S 103rd East Ave Ste 100
Tulsa, OK 74146-2445
Phone: (918) 921-9700
Approximate (ZIP-level) locationGet directions
Mailing address
3840 S 103rd East Ave Ste 100
Tulsa, OK 74146-2445
Registry dates
- Enumerated
- 2012-09-26
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.