Organization
PRIMARY CARE OF TULSA
Active
Organization
PRIMARY CARE OF TULSA
Active
Other names
Ideal Image
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYREE L SEALS DO (MEDICAL DIRECTOR)
(918) 582-7733
Entity
Organization
Contact information
Practice address
205 E PINE ST, SUITE C, TULSA, OK 74106-4859
(918) 582-7733
(918) 582-7755
Mailing address
205 E PINE ST, SUITE C, TULSA, OK 74106-4859
(918) 582-7733
(918) 582-7755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3637
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477611564
PERSONAL NPI
OK
Enumeration date
03/27/2007
Last updated
08/09/2007
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