Organization
CTCA PHYSICANS GROUP OF OKLAHOMA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEETU MASUTA (CHIEF ACCOUNTING OFFICER)
(847) 342-6978
Entity
Organization
Contact information
Practice address
10109 E 79TH ST, TULSA, OK 74133-4564
(847) 746-4358
(847) 746-4213
Mailing address
5900 BROKEN SOUND PKWY NW, BOCA RATON, FL 33487-2797
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/10/2005
Last updated
07/29/2021
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