# MISSION PHYSICIAN SERVICES OF HAWAII, LLC

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

## Provider details

- **NPI number:** 1255641650
- **Authorized official:** MR. KEVIN M. WEBB (PRESIDENT)
- **Authorized official phone:** (918) 770-4441

## Contact information

- **Practice address:** 3220 S PEORIA AVE STE 101, TULSA, OK 74105-2006
- **Practice address phone:** (918) 770-4441
- **Practice address fax:** (918) 712-9880
- **Mailing address:** 3220 S PEORIA AVE STE 101, TULSA, OK 74105-2006
- **Mailing address phone:** (918) 770-4441
- **Mailing address fax:** (918) 712-9880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 10/19/2010
- **Last updated:** 12/27/2010