Heartland Medical Services LLC

NPI #1992992960 in Tulsa, Oklahoma

Provider Information

NPI Number: 1992992960
Entity Type: Organization
Organization Name: Heartland Medical Services LLC
Primary Specialty: General Practice
Enumeration Date: Oct 3, 2007
Last Updated: Oct 3, 2007

Practice Location

Address: 8352 S VANDALIA AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74137-1910
Phone: (918) 493-6460

Authorized Official

Name: MR. TONY E. TUCKER JR.
Title: PRESIDENT
Phone: (918) 493-6460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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