Ideal Image

LBN: Primary Care Of Tulsa
Ideal Image is an health care organization with primary practice located at 205 E Pine St Suite C, Tulsa OK 74106-4859. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Primary Care Of Tulsa can be contacted via phone (918) 582-7733, or through Seals, Tyree L via phone (918) 582-7733.

Contact Information

Primary practice address
205 E Pine St Suite C Tulsa OK 74106-4859
Phone: (918) 582-7733
Fax: (918) 582-7755
Website:
Map and Directions
Authorized official contact:
Name: Seals, Tyree L Doctor of Osteopathy (DO)
Phone: (918) 582-7733

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 3637 Oklahoma

Profile Details

NPI number 1730207788
LBN Legal business name Primary Care Of Tulsa
DBA Doing business as Ideal Image
Authorized official Seals, Tyree L Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Aug 9th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730207788 NPPES
Oklahoma Other 1477611564 PERSONAL NPI

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