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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

NPI # 1164651394
LBN Legal business name AESTHETIC SURGERY OF TULSA, PLLC
Authorized official ROBERT MITCHELL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2009
Last updated 07/09/2009 - About 17 years ago
Identifiers
OK License # 22998
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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