OrganizationActive
Oklahoma State University
NPI 1831250802 · Medical Specialty Clinic/Center · Tulsa, OK
Provider details
- NPI number
- 1831250802
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Eric Polak, Vp
Practice location
1705 E 19th St Ste 600
Tulsa, OK 74104-5417
Phone: (918) 382-3190
Fax: (918) 382-6789
Mailing address
5310 E 31st St Fl 13
Tulsa, OK 74135-5018
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 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.