Organization
OKLAHOMA STATE UNIVERSITY
Active
Parent organization
OKLAHOMA STATE UNIVERSITY
Other names
Oklahoma State University Health Access Network
Organization subpart
Yes
Provider details
NPI number
Legal business name
OKLAHOMA STATE UNIVERSITY
Authorized official
ERIC JOHN POLAK (VP)
(918) 561-8422
Entity
Organization
Contact information
Practice address
5310 E 31ST ST STE 1300, TULSA, OK 74135-5012
(918) 561-1155
(918) 561-1218
Mailing address
5310 E 31ST ST STE 1300, TULSA, OK 74135-5012
(918) 561-1155
(918) 561-1218
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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