Premier Provider Health Oklahoma, PA

NPI #1124612221 in Tulsa, Oklahoma

Provider Information

NPI Number
1124612221
Entity Type
Organization
Organization Name
Premier Provider Health Oklahoma, PA
Primary Specialty
Internal Medicine
Enumeration Date
Mar 1, 2021
Last Updated
Apr 17, 2023

Practice Location

Address
1120 S UTICA AVE
City
Tulsa
ZIP Code
74104-4012
Phone
(512) 202-3830

Authorized Official

Name
HAN PHAM HULEN, MD
Title
PRESIDENT AND OWNER
Phone
(214) 274-1507

Specialties & Taxonomy Codes

Specialty
Family Medicine
Internal Medicine - Infectious DiseaseInfectious Disease
Internal Medicine

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