OrganizationActive
Oklahoma State University
NPI 1780321893 · Medical Specialty Clinic/Center · Tulsa, OK
Provider details
- NPI number
- 1780321893
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Oklahoma State University
- Organization subpart
- Yes
- Authorized official
- Eric Polak, Vp Administrative Affairs(918) 561-8422
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5310 E 31st St Ste 1102
Tulsa, OK 74135-5018
Phone: (918) 561-1890
Fax: (918) 561-1889
Approximate (ZIP-level) locationGet directions
Mailing address
5310 E 31st St Fl 13
Tulsa, OK 74135-5018
Other names (DBA / former)
- Other name
- Osu Addiction Medicine
- Doing business as
- Osu Physicians
- Doing business as
- Osu Physicians
Registry dates
- Enumerated
- 2022-05-19
- 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.