| |
7127 S Olympia Ave Tulsa OK 74132-1856 | |
(918) 665-9500 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 7127 S Olympia Ave, Tulsa, Oklahoma |
Authorized Official Name and Position | Grant Asay (CEO) |
Authorized Official Contact | 4054451210 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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701 Cedar Lake Blvd Ste 120 Oklahoma City OK 73114-7815 Ph: (405) 445-1210 | 7127 S Olympia Ave Tulsa OK 74132-1856 Ph: (918) 665-9500 |
NPI Number | 1750950580 |
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Provider Enumeration Date | 06/24/2021 |
Last Update Date | 02/24/2023 |
Medicare PECOS PAC ID | 3375832157 |
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Medicare Enrollment ID | O20210707002867 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750950580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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