| |
7110 S Mingo Rd #108 Tulsa OK 74133-3269 | |
(918) 252-0438 | |
(918) 250-0422 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 7110 S Mingo Rd, Tulsa, Oklahoma |
Authorized Official Name and Position | Alan Dale Grover (PRESIDENT) |
Authorized Official Contact | 9182520438 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7110 S Mingo Rd #108 Tulsa OK 74133-3269 Ph: (918) 252-0438 | 7110 S Mingo Rd #108 Tulsa OK 74133-3269 Ph: (918) 252-0438 |
NPI Number | 1730312174 |
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Provider Enumeration Date | 09/02/2009 |
Last Update Date | 01/19/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730312174 | NPI | - | NPPES |
200227160A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 2527 (Oklahoma) | Primary |
Tulsa Internal Medicine Physicians, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2000 S Wheeling Ave, Ste 1000, Tulsa, OK 74104 Phone: 918-748-8467 | |
Community Health Connection, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13702 E 46th Pl, Tulsa, OK 74134 Phone: 918-622-0641 Fax: 918-622-4814 | |
Qt Quikmed Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4705 S 129th East Ave, Tulsa, OK 74134 Phone: 918-994-3953 | |
Careatc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 N 161st East Ave, Tulsa, OK 74116 Phone: 800-993-8244 |