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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

NPI # 1356612063
LBN Legal business name UROLOGY SPECIALISTS OF CENTRAL OKLAHOMA, LLC
Authorized official EN SAMARA - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/26/2012
Last updated 04/22/2026 - About 1 months ago
Identifiers
OK Medicaid 200438780A
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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