| NPI | 1235997883 |
|---|---|
| Doing Business As | OKLAHOMA STATE UNIVERSITY HEALTH ACCESS NETWORK |
| Entity Type | Organization |
| Authorized Contact | ERIC JOHN POLAK VP 918-561-8422 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-08 |