Provider Demographics
NPI:1679551915
Name:HIGH POINT MEDICAL PC
Entity type:Organization
Organization Name:HIGH POINT MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMSON
Authorized Official - Middle Name:O
Authorized Official - Last Name:ISOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-398-7803
Mailing Address - Street 1:6918 E 66TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-1707
Mailing Address - Country:US
Mailing Address - Phone:918-398-7803
Mailing Address - Fax:
Practice Address - Street 1:6918 E 66TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-1707
Practice Address - Country:US
Practice Address - Phone:918-398-7803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-06
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty