| Tulsa Medical And Orthopedic Center Pc | |
|
8165 S Mingo Rd Ste 200 Tulsa OK 74133 | |
| (918) 710-9084 | |
| Not Available |
| Full Name | Tulsa Medical And Orthopedic Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 8165 S Mingo Rd Ste 200, Tulsa, Oklahoma |
| Authorized Official Name and Position | Michael Gorman (OWNER) |
| Authorized Official Contact | 9187109084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tulsa Medical And Orthopedic Center Pc 8165 S Mingo Rd Ste 103 Tulsa OK 74133-4666 Ph: (918) 710-9084 | Tulsa Medical And Orthopedic Center Pc 8165 S Mingo Rd Ste 200 Tulsa OK 74133 Ph: (918) 710-9084 |
| NPI Number | 1417464199 |
|---|---|
| Provider Enumeration Date | 01/04/2018 |
| Last Update Date | 08/13/2018 |
| Medicare PECOS PAC ID | 7315207065 |
|---|---|
| Medicare Enrollment ID | O20180129001777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417464199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 28153 (Oklahoma) | Primary |
| Provider Name | Michael D Gorman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639332042 PECOS PAC ID: 4789858960 Enrollment ID: I20111128000628 |
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