| Ou Physicians Tulsa Wayman Tisdale Clinic | |
|
591 E 36th St N Tulsa OK 74106-1812 | |
| (918) 619-8700 | |
| (918) 634-7884 |
| Full Name | Ou Physicians Tulsa Wayman Tisdale Clinic |
|---|---|
| Speciality | Pediatrics |
| Location | 591 E 36th St N, Tulsa, Oklahoma |
| Authorized Official Name and Position | Jonathan Joiner (COO OU PHYSICIANS TULSA) |
| Authorized Official Contact | 9186603081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ou Physicians Tulsa Wayman Tisdale Clinic 4502 E 41st St # 2g08 Ou Physicians Tulsa-clinical Services Tulsa OK 74135-2536 Ph: (918) 660-3632 | Ou Physicians Tulsa Wayman Tisdale Clinic 591 E 36th St N Tulsa OK 74106-1812 Ph: (918) 619-8700 |
| NPI Number | 1194844936 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 07/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194844936 | NPI | - | NPPES |
| 100745000U | Medicaid | OK |
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