Cosmetic Center of Tulsa LLC

NPI #1780018465 in Tulsa, Oklahoma

Provider Information

NPI Number: 1780018465
Entity Type: Organization
Organization Name: Cosmetic Center of Tulsa LLC
Primary Specialty: Surgery
Enumeration Date: Aug 29, 2013
Last Updated: Aug 29, 2013

Practice Location

Address: 9906 RIVERSIDE PKWY
City: Tulsa
State: Oklahoma
ZIP Code: 74137-7409
Phone: (918) 298-8080

Authorized Official

Name: JENNIFER A CUSHMAN
Title: OFFICE MANAGER
Phone: (918) 298-8080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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