| Premier Provider Health Oklahoma, Pa | |
| 
					1120 S Utica Ave Tulsa OK 74104-4012  | |
| (512) 202-3830 | |
| (512) 354-1106 | 
| Full Name | Premier Provider Health Oklahoma, Pa | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 1120 S Utica Ave, Tulsa, Oklahoma | 
| Authorized Official Name and Position | Han Pham Hulen (PRESIDENT AND OWNER) | 
| Authorized Official Contact | 2142741507 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Premier Provider Health Oklahoma, Pa 1 Chisholm Trail Rd Ste 5200 Round Rock TX 78681-5090 Ph: (512) 202-3830  | Premier Provider Health Oklahoma, Pa 1120 S Utica Ave Tulsa OK 74104-4012 Ph: (512) 202-3830  | 
| NPI Number | 1124612221 | 
|---|---|
| Provider Enumeration Date | 03/01/2021 | 
| Last Update Date | 04/17/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1124612221 | NPI | - | NPPES | 
Tulsa Internal Medicine Physicians, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2000 S Wheeling Ave, Ste 1000, Tulsa, OK 74104 Phone: 918-748-8467  | |
Susan C. Willard, Do, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 Phone: 918-740-4630 Fax: 918-289-0091  | |
Gamble Family Medical Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4134 S Harvard Ave Ste B3, Tulsa, OK 74135 Phone: 918-442-2236 Fax: 918-794-2333  | |
Community Health Connection, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13702 E 46th Pl, Tulsa, OK 74134 Phone: 918-622-0641 Fax: 918-622-4814  | |
Qt Quikmed Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4705 S 129th East Ave, Tulsa, OK 74134 Phone: 918-994-3953  | |
Shepcole, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 S Peoria Ave, Tulsa, OK 74120 Phone: 918-609-5600  | |
Careatc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 N 161st East Ave, Tulsa, OK 74116 Phone: 800-993-8244  |