Healthcare Provider Details
I. General information
NPI: 1700534252
Provider Name (Legal Business Name): SMART CHOICE MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/14/2022
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5350 E 46TH ST STE 100
TULSA OK
74135-6601
US
IV. Provider business mailing address
5350 E 46TH ST STE 100
TULSA OK
74135-6601
US
V. Phone/Fax
- Phone: 918-712-0239
- Fax:
- Phone: 918-712-0239
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QS0010X |
| Taxonomy | Sports Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WILSON
GREGORY
KNIGHT
II
Title or Position: OWNER
Credential: DO
Phone: 918-712-0239