OrganizationActive
Oklahoma State University
NPI 1306882261 · Medical Specialty Clinic/Center · Tulsa, OK
Provider details
- NPI number
- 1306882261
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eric Polak, Vp/Cfo(918) 561-8422
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Practice location
2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone: (918) 561-5701
Fax: (918) 585-9273
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
Registry dates
- Enumerated
- 2006-06-21
- 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.