Green Country Emergency Physicians Group Of Tulsa Pllc

LBN: Green Country Emergency Physicians Group Of Tulsa Pllc
Green Country Emergency Physicians Group Of Tulsa Pllc is an health care organization with primary practice located at 1120 S Utica Ave , Tulsa OK 74104. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Green Country Emergency Physicians Group Of Tulsa Pllc can be contacted via phone (918) 579-1000, or through Dixon, Jeffrey D via phone (918) 728-3354.

Contact Information

Primary practice address
1120 S Utica Ave Tulsa OK 74104
Fax: (918) 664-2521
Website:
Authorized official contact:
Name: Dixon, Jeffrey D Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1972698553
LBN Legal business name Green Country Emergency Physicians Group Of Tulsa Pllc
DBA Doing business as
Authorized official Dixon, Jeffrey D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Jun 1st, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972698553 NPPES
Oklahoma MEDICAID 200094670A

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