| Osu Physicians - Behavioral Medicine | |
|
5310 E 31st St Ste Ll Tulsa OK 74135-5013 | |
| (918) 236-4000 | |
| (918) 236-4001 |
| Full Name | Osu Physicians - Behavioral Medicine |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5310 E 31st St Ste Ll, Tulsa, Oklahoma |
| Authorized Official Name and Position | Eric Polak (VP FOR ADMINISTRATION & FINANCE) |
| Authorized Official Contact | 9185618422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osu Physicians - Behavioral Medicine 5310 E 31st St Ste 13 Tulsa OK 74135-5013 Ph: (918) 561-5701 | Osu Physicians - Behavioral Medicine 5310 E 31st St Ste Ll Tulsa OK 74135-5013 Ph: (918) 236-4000 |
| NPI Number | 1124557426 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124557426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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