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Contact Information

AESTHETIC SURGERY OF TULSA, PLLC
6802 S OLYMPIA AVE
SUITE G113
TULSA, OK74132-1823
 Phone: 918-960-3033
 Fax: 918-960-3035
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for AESTHETIC SURGERY OF TULSA PLLC · (Female)

NPI # 1164651394
Status Active
Credentials
Entity Individual
Enumeration date 07/09/2009
Last updated 07/09/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 22998
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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