Healthcare Provider Details

I. General information

NPI: 1407977366
Provider Name (Legal Business Name): TULSA HEALTH GROUP, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 E TAFT ST STE 200
SAPULPA OK
74066-6033
US

IV. Provider business mailing address

PO BOX 108809
OKLAHOMA CITY OK
73101-8809
US

V. Phone/Fax

Practice location:
  • Phone: 918-227-5887
  • Fax:
Mailing address:
  • Phone: 918-299-8232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN WISEMAN
Title or Position: OWNER
Credential: M.D.
Phone: 918-299-8232