DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EAST TULSA MEDICAL GROUP

Active Organization

EAST TULSA MEDICAL GROUP is a Family Medicine organization located in TULSA, Oklahoma. NPI 1114336534 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · TULSA, OK

Registration Details

NPI Number
1114336534
Provider Type
Organization
NPI Issued
Aug 11, 2014 (12.054688895172 yrs)
Last Updated
Aug 11, 2014
License
1567 (OK)

Practice Information

Address
11445 E 20TH ST
TULSA, OK, 741286421
Browse OK providers · Browse ZIP 74128
Phone
9184376830
Fax
9184376171
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.