ESSENTIAL MD PLLC NPI 1184222705

NPI Information

ESSENTIAL MD, PLLC is a primary care clinic center in Tulsa, OK. ESSENTIAL MD, PLLC NPI is 1184222705. The provider is registered as an organization entity type.

The provider's business location address is:

6316 E 102ND ST STE 100
TULSA, OK
ZIP 74137-061
Phone: (918) 600-2233
Fax: (918) 600-2234

The provider's authorized official is Jonathan Edward Mcghee .
The authorized official title is Owner and has the following contact phone number (918) 600-2233.

The CLIA number assigned to this NPI record is 37D2197147 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2020 and was last updated on 10/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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