Provider Demographics
NPI:1831068501
Name:GREINER INTERNAL MEDICINE, P.C.
Entity type:Organization
Organization Name:GREINER INTERNAL MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:HOUSTON
Authorized Official - Last Name:GREINER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-615-4015
Mailing Address - Street 1:4785 E 91ST ST STE 200
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-2839
Mailing Address - Country:US
Mailing Address - Phone:918-615-4015
Mailing Address - Fax:918-398-9296
Practice Address - Street 1:4785 E 91ST ST STE 200
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-2839
Practice Address - Country:US
Practice Address - Phone:918-615-4015
Practice Address - Fax:918-398-9296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-01
Last Update Date:2025-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty