Provider First Line Business Practice Location Address:
4444 E. 41ST ST, 3RD FLOOR, STE C
Provider Second Line Business Practice Location Address:
OU PHYSICIANS TULSA PSYCHIATRY
Provider Business Practice Location Address City Name:
TULSA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74125-2527
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-660-3622
Provider Business Practice Location Address Fax Number:
918-660-3611
Provider Enumeration Date:
09/29/2006