Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI # | 1164651394 |
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| 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 |
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AESTHETIC SURGERY OF TULSA, PLLC
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| ERICA L HILL, DO 6475 S YALE AVE STE 400 TULSA, OK |
| CHARLES K HARMON, MD 6600 S. YALE AVE TULSA, OK |
| SCOTT A NEWBROUGH, MD 2000 S WHEELING AVE STE 100 TULSA, OK |
| ANGIE M HIGNITE, PA-C 2000 S WHEELING AVE STE 100 TULSA, OK |
| RICHARD D RANNE, MD 1919 S WHEELING AVE STE 606 TULSA, OK |
| RACHEL P TYLER, MD 1919 SWHEELING AVE TULSA, OK |
| HYEIN KIM, MD 1919 S WHEELING AVE STE 600 TULSA, OK |
| HUAN N VU, MD 10109 E. 79TH STREET TULSA, OK |
| ROLA E EID, DO 10109 E. 79TH STREET TULSA, OK |
| SAMUEL J PANGBURN, DO 10505 E 91ST ST STE 203 TULSA, OK |