Healthcare Provider Details

I. General information

NPI: 1316949860
Provider Name (Legal Business Name): SPRINGER CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6160 S YALE AVE
TULSA OK
74136-1930
US

IV. Provider business mailing address

6600 S YALE AVE STE 1400
TULSA OK
74136-3310
US

V. Phone/Fax

Practice location:
  • Phone: 918-492-7200
  • Fax: 918-495-2606
Mailing address:
  • Phone: 918-494-6001
  • Fax: 918-494-6010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateOK

VIII. Authorized Official

Name: ERIC SCHICK JR.
Title or Position: VICE PRESIDENT - FINANCE
Credential:
Phone: 918-502-8118