# TULSA PEDIATRIC URGENT CARE

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

## Provider details

- **NPI number:** 1871745802
- **Authorized official:** MRS. VICTORIA ANN RALEY (OFFICE MANAGER)
- **Authorized official phone:** (918) 625-6313

## Contact information

- **Practice address:** 7717 E 91ST ST, TULSA, OK 74133-6053
- **Practice address phone:** (918) 895-7808
- **Practice address fax:** (918) 895-7807
- **Mailing address:** 6528 E. 101ST STREET PMB\#431, SUITE D1, TULSA, OK 74133
- **Mailing address phone:** (918) 895-7808
- **Mailing address fax:** (918) 895-7807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 21759 | OK | Yes |

## Other

- **Enumeration date:** 10/22/2008
- **Last updated:** 10/22/2008