Southcrest Medical Group LLC
Organization Active NPI General Practice Physician · Tulsa, OK
NPI 1992736250 · NPPES record last updated Apr 20, 2008
Key facts
- NPI
- 1992736250
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- SOUTHCREST MEDICAL GROUP LLC
- Practice address
- 6528 E 101St St
Ste I
Tulsa, OK 74133-6724 - Phone
- (918) 294-4803
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Debbie Brewer
- Title
- Director of Provider Enrollment
- Phone
- (877) 892-9813
National Provider Directory
Locations
6528 E 101st St
Ste I
Tulsa, OK 74133
Phone (918) 294-4803
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
6528 E 101St St
Ste I
Tulsa, OK 74133-6724
Mailing address
7100 Commerce Way
Suite 180
Brentwood, TN 37027-2829
Other providers in Tulsa, OK
- Southcrest Anesthesia Group LLC
- Southcrest Dialysis LLC
- Southcrest Emergency Physicians PC
- Southcrest LLC
- Southcrest LLC
- Southcrest Surgery Center LP
- Southern Hills Nursing Center Inc
- Southern Hills Rehab Center, LLC
- Southern Hills Retirement Center, LLC
- Southern Pointe Dental and Implants LLC
All providers in Tulsa, OK · General Practice Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.