# TULSA CARDIAC APC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174340707
- **Authorized official:** PAMELA COMSTOCK (COO/CFO)
- **Authorized official phone:** (786) 414-8365

## Contact information

- **Practice address:** 1616 W 79TH ST S, TULSA, OK 74132
- **Practice address phone:** (786) 414-8365
- **Mailing address:** 1616 W 79TH ST S, TULSA, OK 74132
- **Mailing address phone:** (786) 414-8365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/24/2024
- **Last updated:** 09/24/2024