| Mjr Enterprises Llc | |
|
3800 W. 71st Inverness Village Tulsa OK 74132 | |
| (918) 388-4254 | |
| Not Available |
| Full Name | Mjr Enterprises Llc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 3800 W. 71st, Tulsa, Oklahoma |
| Authorized Official Name and Position | Martha Jean Root (OWNER) |
| Authorized Official Contact | 9182608802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mjr Enterprises Llc 58 St Andrews Cir Broken Arrow OK 74011-1107 Ph: (918) 260-8802 | Mjr Enterprises Llc 3800 W. 71st Inverness Village Tulsa OK 74132 Ph: (918) 388-4254 |
| NPI Number | 1871733519 |
|---|---|
| Provider Enumeration Date | 02/20/2009 |
| Last Update Date | 02/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871733519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 2299 (Oklahoma) | Primary |
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