# HARVARD FAMILY PHYSICIANS P C

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

## Provider details

- **NPI number:** 1306891288
- **Authorized official:** DR. KENNETH ARTHUR MUCKALA M.D. (CEO/PRESIDENT)
- **Authorized official phone:** (918) 743-8200

## Contact information

- **Practice address:** 7912 E 31ST CT, SUITE 220, TULSA, OK 74145-1315
- **Practice address phone:** (918) 743-8200
- **Mailing address:** 7912 E 31ST CT, SUITE 220, TULSA, OK 74145-1315
- **Mailing address phone:** (918) 743-8200
- **Mailing address fax:** (918) 743-8609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2623 | OK | — |
| 207Q00000X | Family Medicine Physician | 11366 | OK | — |
| 207Q00000X | Family Medicine Physician | 13762 | OK | — |
| 207Q00000X | Family Medicine Physician | 14337 | OK | — |
| 207Q00000X | Family Medicine Physician | 14483 | OK | Yes |
| 207Q00000X | Family Medicine Physician | 15691 | OK | — |
| 207Q00000X | Family Medicine Physician | 15800 | OK | — |
| 207Q00000X | Family Medicine Physician | 16314 | OK | — |
| 207Q00000X | Family Medicine Physician | 21221 | OK | — |
| 207Q00000X | Family Medicine Physician | 22222 | OK | — |
| 207Q00000X | Family Medicine Physician | 26464 | OK | — |
| 207V00000X | Obstetrics & Gynecology Physician | 24064 | OK | — |
| 207V00000X | Obstetrics & Gynecology Physician | 3713 | OK | — |
| 208000000X | Pediatrics Physician | 17805 | OK | — |
| 208000000X | Pediatrics Physician | 4733 | OK | — |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 06/07/2018