# MEDSTAR EMERGENCY PHYSICIANS PLLC

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

## Provider details

- **NPI number:** 1487643375
- **Authorized official:** DIXIE GRANT-COLLINS D.O. (PRESIDENT)
- **Authorized official phone:** (918) 587-2561

## Contact information

- **Practice address:** 744 W 9TH ST, TULSA, OK 74127-9020
- **Practice address phone:** (918) 587-2561
- **Mailing address:** DEPT 672, TULSA, OK 74127
- **Mailing address phone:** (866) 321-8433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | OK | Yes |

## Other

- **Enumeration date:** 10/14/2005
- **Last updated:** 08/22/2020