# OSU-CENTER FOR HEALTH SCIENCES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OSU-AJ EMERGENCY SERVICES OF OKLAHOMA PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629370937
- **Authorized official:** ERIC POLAK (CFO OSU PHYSICIANS)
- **Authorized official phone:** (918) 561-8422

## Contact information

- **Practice address:** 4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
- **Practice address phone:** (918) 561-8306
- **Practice address fax:** (918) 561-5747
- **Mailing address:** 2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
- **Mailing address phone:** (918) 561-8306
- **Mailing address fax:** (918) 561-5747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2010
- **Last updated:** 03/16/2016