Center For Plastic Surgery Pc

LBN: Center For Plastic Surgery Pc
Center For Plastic Surgery Pc is an health care organization with primary practice located at 1844 E 15Th St , Tulsa OK 74104-4611. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Center For Plastic Surgery Pc can be contacted via phone (918) 749-7177, or through Mathers, Mark L. via phone (918) 749-7177.

Contact Information

Primary practice address
1844 E 15Th St Tulsa OK 74104-4611
Phone: (918) 749-7177
Fax: (918) 749-7309
Website:
Map and Directions
Authorized official contact:
Name: Mathers, Mark L. Doctor of Osteopathy (DO)
Phone: (918) 749-7177

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 2384 Oklahoma

Profile Details

NPI number 1417011693
LBN Legal business name Center For Plastic Surgery Pc
DBA Doing business as
Authorized official Mathers, Mark L. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 7th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417011693 NPPES
Oklahoma MEDICAID 100742880A
Oklahoma Other 442629711-001

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