| Premise Health - Td Williamson | |
|
6801 S 65th West Ave Tulsa OK 74131-2424 | |
| (918) 447-5656 | |
| (918) 447-5650 |
| Full Name | Premise Health - Td Williamson |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6801 S 65th West Ave, 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 - Td Williamson 5500 Maryland Way Ste 400 Brentwood TN 37027-7048 Ph: (615) 468-3188 | Premise Health - Td Williamson 6801 S 65th West Ave Tulsa OK 74131-2424 Ph: (918) 447-5656 |
| NPI Number | 1740760172 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740760172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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