Organization
PREMIER PROVIDER HEALTH OKLAHOMA, PA
Active
Other names
Freedom Wound Physicians Oklahoma, PA
Organization subpart
No
Provider details
NPI number
Authorized official
HAN PHAM HULEN MD (PRESIDENT AND OWNER)
(214) 274-1507
Entity
Organization
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(512) 202-3830
(512) 354-1106
Mailing address
1 CHISHOLM TRAIL RD STE 5200, ROUND ROCK, TX 78681-5090
(512) 202-3830
(512) 354-1106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
Other
Enumeration date
03/01/2021
Last updated
04/17/2023
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