PREMIER PROVIDER HEALTH OKLAHOMA, PA

TULSA, OK
NPI1124612221
Doing Business AsFREEDOM WOUND PHYSICIANS OKLAHOMA, PA
Entity TypeOrganization
Authorized ContactHAN PHAM HULEN
President And Owner
214-274-1507
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207Q00000X Family Medicine
207RI0200X Internal Medicine, Infectious Disease
Enumeration Date2021-03-01
Last Update Date2023-04-17
Business Address
PREMIER PROVIDER HEALTH OKLAHOMA, PA
1120 S UTICA AVE
TULSA, OK 74104-4012
Phone number: 512-202-3830
Mailing Address
PREMIER PROVIDER HEALTH OKLAHOMA, PA
1 CHISHOLM TRAIL RD STE 5200
ROUND ROCK, TX 78681-5090
Phone number: 512-202-3830