Healthcare Provider Details

I. General information

NPI: 1083536502
Provider Name (Legal Business Name): STEADFAST MEDICAL GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 S 8TH ST
MCLOUD OK
74851-8588
US

IV. Provider business mailing address

6802 S OLYMPIA AVE STE 150
TULSA OK
74132-1852
US

V. Phone/Fax

Practice location:
  • Phone: 918-906-9373
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CHAD PHILLIPS
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 918-906-9373