# OKLAHOMA SLEEP INSTITUTE CLINIC - UP

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

## Provider details

- **NPI number:** 1184049975
- **Authorized official:** MIKE GOLD (CEO)
- **Authorized official phone:** (405) 606-2727

## Contact information

- **Practice address:** 825 NE 10TH ST, \# 4B, OKLAHOMA CITY, OK 73104-5417
- **Practice address phone:** (405) 606-2727
- **Practice address fax:** (405) 606-7040
- **Mailing address:** 13900 WIRELESS WAY, SUITE 100, OKLAHOMA CITY, OK 73134-2505
- **Mailing address phone:** (405) 260-6272
- **Mailing address fax:** (405) 606-7040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2014
- **Last updated:** 06/09/2014