OrganizationActive
Oklahoma State University
NPI 1437480670 · Medical Specialty Clinic/Center · Tulsa, OK
Provider details
- NPI number
- 1437480670
- 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
14002 E 21st St Ste 1130
Tulsa, OK 74134-1408
Phone: (918) 439-1200
Fax: (918) 439-1199
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 Family Medicine Eastgate
Registry dates
- Enumerated
- 2010-01-28
- 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.