| |
2325 S Harvard Ave Tulsa OK 74114-3300 | |
(918) 587-2171 | |
(918) 295-6194 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2325 S Harvard Ave, Tulsa, Oklahoma |
Authorized Official Name and Position | Saunya Moore (CFO) |
Authorized Official Contact | 9182956107 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1334 N Lansing Ave Tulsa OK 74106-5907 Ph: (918) 587-2171 | 2325 S Harvard Ave Tulsa OK 74114-3300 Ph: (918) 587-2171 |
NPI Number | 1285069708 |
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Provider Enumeration Date | 09/04/2013 |
Last Update Date | 07/24/2019 |
Medicare PECOS PAC ID | 1951297621 |
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Medicare Enrollment ID | O20161118000898 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285069708 | NPI | - | NPPES |
100768880Q | Medicaid | OK | |
WCDPG | Other | OK | MEDICARE PTAN PART B |
371926 | Other | OK | MEDICARE PART A |
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