Organization
ELITE MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PALLAVI AGARWAL MD (MEMBER)
(888) 599-3330
Entity
Organization
Contact information
Practice address
1725 E 19TH ST STE 202, TULSA, OK 74104-5419
(888) 599-3330
Mailing address
7107 S YALE AVE # 341, TULSA, OK 74136-6308
(888) 599-3330
(888) 599-3330
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
23998
OK
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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