| Elite Medical Clinic Pllc | |
|
1725 E 19th St Ste 202 Tulsa OK 74104-5419 | |
| (888) 599-3330 | |
| Not Available |
| Full Name | Elite Medical Clinic Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1725 E 19th St Ste 202, Tulsa, Oklahoma |
| Authorized Official Name and Position | Pallavi Agarwal (MEMBER) |
| Authorized Official Contact | 8885993330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Medical Clinic Pllc 7107 S Yale Ave # 341 Tulsa OK 74136-6308 Ph: (888) 599-3330 | Elite Medical Clinic Pllc 1725 E 19th St Ste 202 Tulsa OK 74104-5419 Ph: (888) 599-3330 |
| NPI Number | 1184895252 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 03/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184895252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 23998 (Oklahoma) | Primary |
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