Organization
OKLAHOMA STATE UNIVERSITY
Active
Other names
OSU Physicians Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JOHN POLAK (VP)
(918) 561-8422
Entity
Organization
Contact information
Practice address
717 S HOUSTON STE 300, TULSA, OK 74127-9006
(918) 382-5064
(918) 382-3589
Mailing address
5310 E 31ST ST FL 13, TULSA, OK 74135-5018
(918) 561-5701
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100757080A
—
OK
Enumeration date
12/13/2006
Last updated
02/18/2026
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