Osu Center For Health Sciences
Clinic/Center, Medical Specialty in Tulsa, OK. Organization (NPI-2).
NPI number1679648331
StatusActive
Last updated in NPPESMar 23, 2016
Details
- NPI
- 1679648331
- Entity type
- Organization (NPI-2)
- Legal business name
- Osu Center For Health Sciences
- Organization subpart
- No
- Enumeration date
- Nov 21, 2006
- Last updated
- Mar 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Other names
- Osu-Aj Chd Neuro Of Tulsa (Doing Business As)
Practice location
6465 S Yale AveSuite 320
Tulsa, OK 74136-7823
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 Polak
Vice President For Admin/Finance
9185618422
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