| Oklahoma State Department Of Health Tb Clinic | |
|
123 Robert S Kerr Ave Ste 1702 Oklahoma City OK 73102-6406 | |
| (405) 426-8650 | |
| (405) 900-7498 |
| Full Name | Oklahoma State Department Of Health Tb Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 123 Robert S Kerr Ave Ste 1702, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Gitanjali Pai (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 4054268000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma State Department Of Health Tb Clinic 123 Robert S Kerr Ave Ste 1702 Oklahoma City OK 73102-6406 Ph: (405) 426-8650 | Oklahoma State Department Of Health Tb Clinic 123 Robert S Kerr Ave Ste 1702 Oklahoma City OK 73102-6406 Ph: (405) 426-8650 |
| NPI Number | 1114044369 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114044369 | NPI | - | NPPES |
| 100728660C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Secondary |
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