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Contact Information

W PROFESSIONAL SURGICAL SERVICES PLLC
10001 BROADWAY EXT STE A
OKLAHOMA CITY, OK73114-6307
 Phone: 405-748-5950
 Fax: 405-607-3580
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for W PROFESSIONAL SURGICAL SERVICES PLLC

NPI # 1861205379
LBN Legal business name W PROFESSIONAL SURGICAL SERVICES PLLC
Authorized official IVAN WAYNE - (PHYSICIAN & OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2025
Last updated 01/30/2025 - More than a year ago
Identifiers n/a
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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