OrganizationActive
Oklahoma State University
NPI 1104294818 · Medical Specialty Clinic/Center · Tulsa, OK
Provider details
- NPI number
- 1104294818
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Kyla Wittner, RN
- License
- 0106977 (OK)
Mailing address
102 E Brahma Ave
Dewey, OK 74029-2712
Registry dates
- Enumerated
- 2015-09-11
- Last updated
- 2015-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.