# ORTHOPEDIC & TRAUMA SERVICE OF OKLAHOMA, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235316829
- **Authorized official:** BETSY WEBB (OFFICE MANAGER)
- **Authorized official phone:** (918) 392-4547

## Contact information

- **Practice address:** 5110 S YALE AVE STE 525, TULSA, OK 74135-7485
- **Practice address phone:** (918) 392-4547
- **Practice address fax:** (918) 392-4555
- **Mailing address:** 5110 S YALE AVE STE 525, TULSA, OK 74135-7485
- **Mailing address phone:** (918) 392-4547
- **Mailing address fax:** (918) 392-4555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XX0801X | Orthopaedic Trauma Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | OK | Yes |

## Other

- **Enumeration date:** 01/25/2008
- **Last updated:** 06/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200221390A | — | OK |