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Contact Information

UROLOGY SPECIALISTS OF CENTRAL OKLAHOMA, LLC
5401 N. PORTLAND AVE. SUITE 440
OKLAHOMA CITY, OK73112
 Phone: 405-943-1137
 Fax: 405-947-0731
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for UROLOGY SPECIALISTS OF CENTRAL OKLAHOMA LLC · (Female)

NPI # 1356612063
Status Active
Credentials
Entity Individual
Enumeration date 01/26/2012
Last updated 04/22/2026 - About 1 months ago
Sole proprietor 1 Not specified
Identifiers
  • OK Medicaid 200438780A
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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