Next Level Primary Care, Pllc | |
5930 E 31st St Tulsa OK 74135-5118 | |
(918) 982-6398 | |
(918) 982-6392 |
Full Name | Next Level Primary Care, Pllc |
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Speciality | Family Medicine |
Location | 5930 E 31st St, Tulsa, Oklahoma |
Authorized Official Name and Position | Velisa Davis (CEO) |
Authorized Official Contact | 9189826398 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Next Level Primary Care, Pllc 5930 E 31st St Ste 500 Tulsa OK 74135-5118 Ph: (918) 982-6398 | Next Level Primary Care, Pllc 5930 E 31st St Tulsa OK 74135-5118 Ph: (918) 982-6398 |
NPI Number | 1992347355 |
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Provider Enumeration Date | 10/16/2019 |
Last Update Date | 04/13/2022 |
Medicare PECOS PAC ID | 5395179782 |
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Medicare Enrollment ID | O20191217002784 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992347355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ulysses Bowler |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1942290788 PECOS PAC ID: 2163447731 Enrollment ID: I20051012000876 |
Provider Name | Velisa Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609364314 PECOS PAC ID: 4385909084 Enrollment ID: I20180530001847 |
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