# VEIN CARE CENTER OF OKLAHOMA PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1629386529
- **Authorized official:** DR. ROBERT B. MAMMANA M.D. (MANAGING MEMBER)
- **Authorized official phone:** (918) 502-3600

## Contact information

- **Practice address:** 6151 S YALE AVE, SUITE 1-302, TULSA, OK 74136-1907
- **Practice address phone:** (918) 502-3600
- **Practice address fax:** (918) 502-3610
- **Mailing address:** 6151 S YALE AVE, SUITE 1-302, TULSA, OK 74136-1907
- **Mailing address phone:** (918) 502-3600
- **Mailing address fax:** (918) 502-3610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 20034 | OK | Yes |

## Other

- **Enumeration date:** 09/14/2010
- **Last updated:** 10/01/2010