MR. GARLAND MAURICE SHAW
NPI 1093631830
Peer Specialist in Tulsa, OK
Active since June 25, 2026
About Mr. Garland Maurice Shaw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GARLAND MAURICE SHAW (NPI 1093631830) is an individual peer specialist in Tulsa, Oklahoma and active in the NPI registry since June 2026.
NPPES Registry Identity
NPI1093631830
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. GARLAND MAURICE SHAW
Location Address2745 N MARTIN LUTHER KING JR BLVDTulsa, OK 74106-6434
Mailing Address2745 N Martin Luther King Jr BlvdTulsa, OK 74106-6434 · (918) 430-0000
Phone(918) 430-0000
Sole ProprietorYes
Enumeration DateJune 25, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1093631830 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2745 N MARTIN LUTHER KING JR BLVD, Tulsa, OK 74106
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093631830, enumerated as an "individual" on June 25, 2026.
The provider is located at 2745 N MARTIN LUTHER KING JR BLVD TULSA, OK 74106 and the phone number is (918) 430-0000.
Peer Specialist with taxonomy code 175T00000X.
