OrganizationActive
Oklahoma State University
NPI 1245391200 · Medical Specialty Clinic/Center · Tulsa, OK
Provider details
- NPI number
- 1245391200
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eric Polak, Vp(918) 561-8422
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
717 S Houston Ste 300
Tulsa, OK 74127-9006
Phone: (918) 382-5064
Fax: (918) 382-3589
Approximate (ZIP-level) locationGet directions
Mailing address
5310 E 31st St Fl 13
Tulsa, OK 74135-5018
Other names (DBA / former)
- Doing business as
- Osu Physicians Internal Medicine
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2026-02-18
- Certified
- 2026-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.