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Organization
VEIN CARE CENTER OF OKLAHOMA PLLC
Active
Organization
VEIN CARE CENTER OF OKLAHOMA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT B. MAMMANA M.D. (MANAGING MEMBER)
(918) 502-3600
Entity
Organization
Contact information
Practice address
6151 S YALE AVE, SUITE 1-302, TULSA, OK 74136-1907
(918) 502-3600
(918) 502-3610
Mailing address
6151 S YALE AVE, SUITE 1-302, TULSA, OK 74136-1907
(918) 502-3600
(918) 502-3610
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
20034
OK
Other
Enumeration date
09/14/2010
Last updated
10/01/2010
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