SOUTH TULSA ASC, LLC – NPI #1174084982
Clinic/Center

SOUTH TULSA ASC, LLC is an AHC clinic located in TULSA, OK. NPPES has assigned the NPI number 1174084982 to SOUTH TULSA ASC, LLC on March 26, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH TULSA ASC, LLC below.

NPI Profile for
SOUTH TULSA ASC, LLC

NPI Number
1174084982
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH TULSA ASC, LLC
Primary location
9840 E 81ST ST STE 200
TULSA, OK 74133-4584
Phone: (623) 764-2780 Fax:
Mailing address
20235 N CAVE CREEK RD # 104-472
PHOENIX, AZ 85024-4424
Phone: (623) 764-2780 Fax:
Organization Subpart
No
Authorized Official
TERRANCE O'NEAL
OWNER/PARTNER
Phone: (623) 764-2780
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.