| Center For Men's Health, Inc. | |
|
5657 E 41st St Tulsa OK 74135-6010 | |
| (918) 622-2500 | |
| (918) 622-2502 |
| Full Name | Center For Men's Health, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5657 E 41st St, Tulsa, Oklahoma |
| Authorized Official Name and Position | William Blaine Price (PRESIDENT) |
| Authorized Official Contact | 9186455201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Men's Health, Inc. 5657 E 41st St Tulsa OK 74135-6010 Ph: (918) 622-2500 | Center For Men's Health, Inc. 5657 E 41st St Tulsa OK 74135-6010 Ph: (918) 622-2500 |
| NPI Number | 1336552710 |
|---|---|
| Provider Enumeration Date | 06/03/2014 |
| Last Update Date | 10/29/2014 |
| Medicare PECOS PAC ID | 7113235086 |
|---|---|
| Medicare Enrollment ID | O20150928000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336552710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 4111 (Oklahoma) | Primary |
| Provider Name | William Blaine Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366423865 PECOS PAC ID: 5597757211 Enrollment ID: I20050817000856 |
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