| Tulsa Internal Medicine Physicians, Pllc | |
|
2000 S Wheeling Ave Ste 1000 Tulsa OK 74104-5649 | |
| (918) 748-8467 | |
| Not Available |
| Full Name | Tulsa Internal Medicine Physicians, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2000 S Wheeling Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Paul G Hendrix (OWNER) |
| Authorized Official Contact | 9187488467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tulsa Internal Medicine Physicians, Pllc 6966 S Utica Ave Ste 225 Tulsa OK 74136-3903 Ph: (918) 492-6333 | Tulsa Internal Medicine Physicians, Pllc 2000 S Wheeling Ave Ste 1000 Tulsa OK 74104-5649 Ph: (918) 748-8467 |
| NPI Number | 1003839283 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 12/30/2010 |
| Medicare PECOS PAC ID | 4284532870 |
|---|---|
| Medicare Enrollment ID | O20031219000834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003839283 | NPI | - | NPPES |
| 200035090A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 12893 (Oklahoma) | Primary |
| Provider Name | Paul G Hendrix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306848692 PECOS PAC ID: 0648178236 Enrollment ID: I20031222000365 |
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