Dermatology Associates Of Tulsa Llc

LBN: Dermatology Associates Of Tulsa Llc
Dermatology Associates Of Tulsa Llc is an health care organization with primary practice located at 8803 S 101St E Ave Ste 335, Tulsa OK 74133-7550. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Dermatology Associates Of Tulsa Llc can be contacted via phone (918) 307-0215, or through Yob, Edward H via phone (918) 307-0215.

Contact Information

Primary practice address
8803 S 101St E Ave Ste 335 Tulsa OK 74133-7550
Fax: (918) 250-7669
Website:
Authorized official contact:
Name: Yob, Edward H Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1336163724
LBN Legal business name Dermatology Associates Of Tulsa Llc
DBA Doing business as
Authorized official Yob, Edward H Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Jun 23rd, 2011 - about 13 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 1336163724 NPPES
Oklahoma MEDICAID 100749090B
Oklahoma Other CH9137

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