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Contact Information

GREEN COUNTRY EMERGENCY PHYSICIANS GROUP OF TULSA PLLC
1120 S UTICA AVE
TULSA, OK74104
 Phone: 918-579-1000
 Fax: 918-664-2521
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for GREEN COUNTRY EMERGENCY PHYSICIANS GROUP OF TULSA PLLC

NPI # 1972698553
LBN Legal business name GREEN COUNTRY EMERGENCY PHYSICIANS GROUP OF TULSA PLLC
Authorized official JEFFREY DIXON - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 06/01/2018 - About 8 years ago
Identifiers
OK Medicaid 200094670A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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