South Tulsa Medical Group Llc

LBN: South Tulsa Medical Group Llc
South Tulsa Medical Group Llc is an health care organization with primary practice located at 8803 S 101St East Ave Ste 100, Tulsa OK 74133-5726. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. South Tulsa Medical Group Llc can be contacted via phone (918) 392-5470, or through Brewer, Debbie via phone (877) 892-9813.

Contact Information

Primary practice address
8803 S 101St East Ave Ste 100 Tulsa OK 74133-5726
Phone: (918) 392-5470
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie
Phone: (877) 892-9813

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X

Profile Details

NPI number 1518998483
LBN Legal business name South Tulsa Medical Group Llc
DBA Doing business as
Authorized official Brewer, Debbie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2006
Last updated Sep 9th, 2008 - about 16 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 1518998483 NPPES
Oklahoma MEDICAID 200106940A

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