Premier Provider Health Oklahoma, Pa
May also be knows as Freedom Wound Physicians Oklahoma, Pa
Internal Medicine Physician in Tulsa, OK(View on Map)
Legal Business Name
Premier Provider Health Oklahoma, Pa
Also Known As
Freedom Wound Physicians Oklahoma, Pa
NPI Number
1124612221
NPI Type
Organization
Enumeration Date
03/01/2021
Specialties
(Taxonomies)Code
207R00000X
207Q00000X
207RI0200X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
1 CHISHOLM TRAIL RD STE 5200
1120 S UTICA AVE
City
Round Rock
Tulsa
State
TX
OK
Postal Code
78681-5090
74104-4012
Country
US
US
Telephone Number
(512) 202-3830
(512) 202-3830
Authorized Official
Name
Han Hulen
Title or Position
PRESIDENT AND OWNER
Telephone Number
(214) 274-1507
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/17/2023
Provider Address
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