AESTHETIC SURGERY OF TULSA, PLLC – NPI #1164651394
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

AESTHETIC SURGERY OF TULSA, PLLC is a surgeon located in TULSA, OK. NPPES has assigned the NPI number 1164651394 to AESTHETIC SURGERY OF TULSA, PLLC on July 09, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

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 AESTHETIC SURGERY OF TULSA, PLLC below.

NPI Profile for
AESTHETIC SURGERY OF TULSA, PLLC

NPI Number
1164651394
Enumeration Date

(about 17 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
AESTHETIC SURGERY OF TULSA, PLLC
Primary location
6802 S OLYMPIA AVE
SUITE G113
TULSA, OK 74132-1823
Phone: (918) 960-3033 Fax: (918) 960-3035
Mailing address
11913 S SANDUSKY AVE
TULSA, OK 74137-1801
Phone: (918) 504-0364 Fax:
Organization Subpart
No
Authorized Official
ROBERT MITCHELL
PRESIDENT
Phone: (918) 504-0364
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
OK 22998

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.