Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Provider Health Oklahoma, PA

Organization Family Medicine Physician · NPI 1124612221

Premier Provider Health Oklahoma, PA is a Family Medicine Physician in Tulsa, Oklahoma. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1120 S Utica Ave
Tulsa, OK 74104-4012
Phone: (512) 202-3830
Fax: (512) 354-1106
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Infectious Disease Physician Taxonomy 207RI0200X

Record details

NPI number1124612221
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Han Hulen — President And Owner · (214) 274-1507
Other names Freedom Wound Physicians Oklahoma, Pa
NPI enumeratedMarch 1, 2021
Last updated in NPPESApril 17, 2023
Certification dateApril 17, 2023
Mailing address1 Chisholm Trail Rd Ste 5200, Round Rock, TX 78681-5090

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