OKLAHOMA STATE UNIVERSITY NPI 1235997883

NPI Information

  • NPI: 1235997883
  • Provider Name: OKLAHOMA STATE UNIVERSITY
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 5310 E 31ST ST STE 1300
    TULSA, OK
    ZIP 74135
  • Phone: (918) 561-1155

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NPI Details

OKLAHOMA STATE UNIVERSITY is a primary care clinic center in Tulsa, OK. OKLAHOMA STATE UNIVERSITY NPI is 1235997883. The provider is registered as an organization entity type.

The provider's business location address is:

5310 E 31ST ST STE 1300
TULSA, OK
ZIP 74135-012
Phone: (918) 561-1155
Fax: (918) 561-1218

The provider's authorized official is Eric John Polak .
The authorized official title is Vp and has the following contact phone number (918) 561-8422.

The enumeration date for this NPI number is 3/8/2024 and was last updated on 3/8/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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