| Tsg Physicians Group | |
|
2308b W Highway 66 Stroud OK 74079-6729 | |
| (918) 968-4469 | |
| Not Available |
| Full Name | Tsg Physicians Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2308b W Highway 66, Stroud, Oklahoma |
| Authorized Official Name and Position | Thomas Rice (CEO) |
| Authorized Official Contact | 4059170300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tsg Physicians Group Po Box 12277 Oklahoma City OK 73157-2277 Ph: (405) 917-0300 | Tsg Physicians Group 2308b W Highway 66 Stroud OK 74079-6729 Ph: (918) 968-4469 |
| NPI Number | 1205884145 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 11/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205884145 | NPI | - | NPPES |
| 200061890A | Medicaid | OK | |
| 200061890B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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