Osu Center For Health Sciences
Clinic/Center in Tulsa, OK. Organization (NPI-2).
NPI number1164040879
StatusActive
Last updated in NPPESJul 9, 2020
Details
- NPI
- 1164040879
- Entity type
- Organization (NPI-2)
- Legal business name
- Osu Center For Health Sciences
- Organization subpart
- No
- Enumeration date
- Jul 9, 2020
- Certification date
- Jul 9, 2020
- Last updated
- Jul 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Osu Residents In Training (Doing Business As)
Practice location
2345 Southwest BlvdTulsa, OK 74107-2705
Phone 918-561-8306 · Fax 918-561-5747
Mailing address
2345 Southwest BlvdTulsa, OK 74107-2705
Phone 918-561-8306 · Fax 918-561-5747
Authorized official
Eric John Polak
Vice President For Admin/Finance
9185618422
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