| Priority Health Care Llc | |
|
5125 E 81st Street Suite 1 Tulsa OK 74137 | |
| (918) 994-6363 | |
| (539) 444-7067 |
| Full Name | Priority Health Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5125 E 81st Street, Tulsa, Oklahoma |
| Authorized Official Name and Position | Ryan Myers (OWNER) |
| Authorized Official Contact | 2486319139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Priority Health Care Llc 5125 E 81st St Ste 1 Tulsa OK 74137-2292 Ph: (918) 994-6363 | Priority Health Care Llc 5125 E 81st Street Suite 1 Tulsa OK 74137 Ph: (918) 994-6363 |
| NPI Number | 1285356139 |
|---|---|
| Provider Enumeration Date | 09/16/2022 |
| Last Update Date | 04/24/2024 |
| Medicare PECOS PAC ID | 5395115174 |
|---|---|
| Medicare Enrollment ID | O20230112001966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285356139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ryan David Myers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174840045 PECOS PAC ID: 0547495491 Enrollment ID: I20150608000667 |
| Provider Name | Kaci Marie Kretchmar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275084303 PECOS PAC ID: 7012284474 Enrollment ID: I20170606002655 |
| Provider Name | Loralee Ann Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710755400 PECOS PAC ID: 9335588615 Enrollment ID: I20240419000302 |
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