| Premise Health Clinic | |
|
3900 N Mingo Rd Turbine Building Md 4 Tulsa OK 74116-5000 | |
| (918) 292-3253 | |
| (918) 292-2183 |
| Full Name | Premise Health Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3900 N Mingo Rd, Tulsa, Oklahoma |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Clinic 5500 Maryland Way Suite 400 Brentwood TN 37027-4948 Ph: () - | Premise Health Clinic 3900 N Mingo Rd Turbine Building Md 4 Tulsa OK 74116-5000 Ph: (918) 292-3253 |
| NPI Number | 1578927141 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578927141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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