OSU FAMILY MEDICINE NPI 1619219359

NPI Information

OSU FAMILY MEDICINE is a special hospital in Tulsa, OK. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. OSU FAMILY MEDICINE NPI is 1619219359. The provider is registered as an organization entity type.

The provider's business location address is:

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107-705
Phone: (918) 582-1980

The provider's authorized official is Lora Cotton .
The authorized official title is Program Director and has the following contact phone number (918) 582-1980.

The CLIA number assigned to this NPI record is 37D0965506 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2013 and was last updated on 3/20/2013.

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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