| Tulsa Cardiovascular Clinic | |
|
11912 S Norwood Ave Ste 110 Tulsa OK 74137-5509 | |
| (918) 943-5303 | |
| (918) 943-5302 |
| Full Name | Tulsa Cardiovascular Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 11912 S Norwood Ave Ste 110, Tulsa, Oklahoma |
| Authorized Official Name and Position | Matthew Comstock (OWNER) |
| Authorized Official Contact | 9189435303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tulsa Cardiovascular Clinic P.o. Box 25011 Belfast ME 04915-2001 Ph: (918) 943-5303 | Tulsa Cardiovascular Clinic 11912 S Norwood Ave Ste 110 Tulsa OK 74137-5509 Ph: (918) 943-5303 |
| NPI Number | 1578128591 |
|---|---|
| Provider Enumeration Date | 05/06/2019 |
| Last Update Date | 10/08/2019 |
| Medicare PECOS PAC ID | 8022344266 |
|---|---|
| Medicare Enrollment ID | O20190725003708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578128591 | NPI | - | NPPES |
| Provider Name | Matthew J Comstock |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174750749 PECOS PAC ID: 5991992141 Enrollment ID: I20101214000499 |
| Provider Name | Galina Michka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093092223 PECOS PAC ID: 0345407771 Enrollment ID: I20120213000569 |
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