| |
5350 E 31st St Ste 302, Tulsa, OK 74135-5026 | |
(800) 811-9699 | |
(918) 779-7794 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 5350 E 31st St Ste 302, Tulsa, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306293394 | NPI | - | NPPES |
200339810E | Medicaid | OK | |
200339810C | Medicaid | OK |
Mailing Address | Practice Location Address |
---|---|
5350 E 31st St Ste 302, Tulsa, OK 74135-5026 Ph: (918) 933-4018 | 5350 E 31st St Ste 302, Tulsa, OK 74135-5026 Ph: (800) 811-9699 |