Organization
MOSAIC INFUSION SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER YOWLER (PRESIDENT)
(502) 627-7100
Entity
Organization
Contact information
Practice address
4150 S HARVARD AVE STE G1, TULSA, OK 74135-2614
(918) 863-2731
(833) 470-1447
Mailing address
6912 S QUENTIN ST STE 50, CENTENNIAL, CO 80112-4531
(720) 282-5411
(877) 302-5251
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200965580B
—
OK
Enumeration date
12/03/2020
Last updated
07/02/2025
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