| Council Oak Comprehensive Health | |
|
10109 E 79th St Tulsa OK 74133-4564 | |
| (918) 756-4333 | |
| Not Available |
| Full Name | Council Oak Comprehensive Health |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 10109 E 79th St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Shawn Terry (SECRETARY OF HEALTH) |
| Authorized Official Contact | 9187564333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Council Oak Comprehensive Health Dept 1038 Tulsa OK 74182-0001 Ph: () - | Council Oak Comprehensive Health 10109 E 79th St Tulsa OK 74133-4564 Ph: (918) 756-4333 |
| NPI Number | 1477121259 |
|---|---|
| Provider Enumeration Date | 06/16/2021 |
| Last Update Date | 06/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477121259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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