Organization
MEDIC-AIRE OF TAHLEQUAH, INC.
Active
Parent organization
MEDIC-AIRE OF TAHLEQUAH, INC.
Other names
Medic-Aire of Tulsa
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDIC-AIRE OF TAHLEQUAH, INC.
Authorized official
MR. JON T HISELEY (PRES/CEO)
(918) 453-9991
Entity
Organization
Contact information
Practice address
5059 S YALE AVE, TULSA, OK 74135-7010
(918) 270-1941
(918) 270-1961
Mailing address
17900 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-5494
(918) 453-9991
(918) 207-0967
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
05/29/2008
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