Provider Demographics
NPI:1477259570
Name:THRIVE URGENT & HEALTH CARE LLC
Entity type:Organization
Organization Name:THRIVE URGENT & HEALTH CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMOS
Authorized Official - Middle Name:
Authorized Official - Last Name:ADESOKAN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-CNP
Authorized Official - Phone:918-625-4797
Mailing Address - Street 1:3352 E 51ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-3512
Mailing Address - Country:US
Mailing Address - Phone:539-867-4881
Mailing Address - Fax:918-584-8938
Practice Address - Street 1:3352 E 51ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-3512
Practice Address - Country:US
Practice Address - Phone:539-867-4881
Practice Address - Fax:918-584-8938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care