| Southcrest Medical Group Llc | |
|
6528 E 101st St Ste I Tulsa OK 74133-6724 | |
| (918) 294-4803 | |
| Not Available |
| Full Name | Southcrest Medical Group Llc |
|---|---|
| Speciality | General Practice |
| Location | 6528 E 101st St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Debbie Brewer (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8778929813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southcrest Medical Group Llc 7100 Commerce Way Suite 180 Brentwood TN 37027-2829 Ph: () - | Southcrest Medical Group Llc 6528 E 101st St Ste I Tulsa OK 74133-6724 Ph: (918) 294-4803 |
| NPI Number | 1992736250 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992736250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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