| Premise Health - Tulsa Midtown | |
|
4415 S Harvard Ave Ste 202 Tulsa OK 74135-2618 | |
| (918) 292-8464 | |
| (918) 292-8474 |
| Full Name | Premise Health - Tulsa Midtown |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4415 S Harvard Ave Ste 202, 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 - Tulsa Midtown 5500 Maryland Way Ste 400 Brentwood TN 37027-7048 Ph: () - | Premise Health - Tulsa Midtown 4415 S Harvard Ave Ste 202 Tulsa OK 74135-2618 Ph: (918) 292-8464 |
| NPI Number | 1508346958 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508346958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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