456678LIFE GATE

NPI: 1215298898 · Organization · Active

Primary Specialty

Health Maintenance Organization

Practice Location

10922 E 39TH STREET SOUTH
TULSA, OK 74146-2703 Map ↗
Phone: 918-378-6912

All Specialties & Licenses

  • Health Maintenance Organization Primary

NPI Registration

Enumerated: 2012-05-31

Last CMS Update: 2012-05-31