Organization
BRIDAN, LTD
Active
Other names
The Med Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY PHILLIPS (DIRECTOR OF BUSINESS AFFAIRS)
(918) 893-9240
Entity
Organization
Contact information
Practice address
9940 E 81ST ST, TULSA, OK 74133-4501
(918) 943-1174
Mailing address
10010 E 81ST ST STE 100, TULSA, OK 74133-4558
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
11/27/2023
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