Organization · Type 2 NPI

Oklahoma State University

Medical Specialty Clinic/Center · Tulsa, OK

NPI number 1104294818 Active

Practice location

744 W 9th St
Tulsa, OK 74127-9020

Call (918) 599-1000 Map

Mailing address

102 E Brahma Ave
Dewey, OK 74029-2712

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X0106977 (OK)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

264 other providers at this address

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About NPI 1104294818

Oklahoma State University's National Provider Identifier is 1104294818, issued on Sep 11, 2015. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Tulsa, OK. The record was last updated on Sep 11, 2015.