Organization
TULSA INTERNAL MEDICINE PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL G HENDRIX M.D. (OWNER)
(918) 748-8467
Entity
Organization
Contact information
Practice address
2000 S WHEELING AVE, STE 1000, TULSA, OK 74104-5649
(918) 748-8467
Mailing address
6966 S UTICA AVE, STE 225, TULSA, OK 74136-3903
(918) 492-6333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12893
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200035090A
—
OK
Enumeration date
07/26/2006
Last updated
12/30/2010
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