OrganizationActive
Oklahoma State University
NPI 1316437494 · Medical Specialty Clinic/Center · Tulsa, OK
Provider details
- NPI number
- 1316437494
- 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
6126 E 61st St
Tulsa, OK 74136-2117
Phone: (918) 294-3430
Fax: (918) 294-3910
Approximate (ZIP-level) locationGet directions
Mailing address
5310 E 31st St Ste 13
Tulsa, OK 74135-5013
Other names (DBA / former)
- Doing business as
- Osu Physicians South Tulsa Obgyn
Registry dates
- Enumerated
- 2018-05-15
- Last updated
- 2024-10-28
- Certified
- 2024-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.