# MEDSTAFF

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1205268380
- **Authorized official:** RON WOODS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (918) 779-7428

## Contact information

- **Practice address:** 4705 S 129TH EAST AVE, TULSA, OK 74134-7005
- **Practice address phone:** (918) 615-7020
- **Practice address fax:** (918) 615-7022
- **Mailing address:** 4500 S 129TH EAST AVE STE 191, TULSA, OK 74134-5891
- **Mailing address phone:** (918) 779-7900
- **Mailing address fax:** (918) 779-7425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2013
- **Last updated:** 07/31/2013