# OKLAHOMA STATE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OSU Physicians OBGYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780745745
- **Authorized official:** ERIC JOHN POLAK (VP)
- **Authorized official phone:** (918) 561-8422

## Contact information

- **Practice address:** 717 S HOUSTON SUITE 200, TULSA, OK 74127-9005
- **Practice address phone:** (918) 586-4500
- **Mailing address:** 5310 E 31ST ST FL 13, TULSA, OK 74135-5018
- **Mailing address phone:** (918) 561-5701
- **Mailing address fax:** (918) 561-1173

## Taxonomy

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

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 02/18/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100757080A | — | OK |