| NAME |
TULSA OUTPATIENT CLINIC |
| STATE |
OKLAHOMA |
| STREET ADDR. 1 |
8921 S MINGO RD |
| CITY |
TULSA |
| ZIP |
74133-5841 |
| OFFICIAL VA NAME |
TULSA, OK CBOC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
TULSA VA CLINIC |
| ST. ADDR. 1 (MAILING) |
9322 EAST 41ST ST |
| CITY (MAILING) |
TULSA |
| STATE (MAILING) |
OKLAHOMA |
| ZIP (MAILING) |
74145-3721 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1750320776
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
623BY |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1750320776
-
- CODING SYSTEM: VASTANUM
- ID: 623BY
-
- CODING SYSTEM: CLIA
- ID: 37D0987999
|
