| Renaissance Medical Of Oklahoma, P.c. | |
|
8014 South 101 East Ave Suite 200 Tulsa OK 74133 | |
| (479) 434-4948 | |
| Not Available |
| Full Name | Renaissance Medical Of Oklahoma, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 8014 South 101 East Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Chester L Carlson (PRESIDENT) |
| Authorized Official Contact | 4794344948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Medical Of Oklahoma, P.c. Po Box 35746 Tulsa OK 74153-0746 Ph: (479) 434-4948 | Renaissance Medical Of Oklahoma, P.c. 8014 South 101 East Ave Suite 200 Tulsa OK 74133 Ph: (479) 434-4948 |
| NPI Number | 1831599737 |
|---|---|
| Provider Enumeration Date | 08/27/2014 |
| Last Update Date | 08/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831599737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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