Organization
VENITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN T MCCORMACK MD (OWNER)
(918) 523-0002
Entity
Organization
Contact information
Practice address
6757 S YALE AVE, TULSA, OK 74136-3302
(918) 523-0002
(918) 523-0030
Mailing address
6757 S YALE AVE, TULSA, OK 74136-3302
(918) 523-0002
(918) 523-0030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6757
ADDRESS
OK
Enumeration date
07/19/2012
Last updated
07/19/2012
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