# SPECIALISTS SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physicians Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730172230
- **Authorized official:** MR. CHARLES COKER (ADMINISTRATOR)
- **Authorized official phone:** (405) 621-8800

## Contact information

- **Practice address:** 5925 NW 139TH ST, OKLAHOMA CITY, OK 73142-1922
- **Practice address phone:** (405) 621-8800
- **Practice address fax:** (405) 621-8802
- **Mailing address:** 5925 NW 139TH ST, OKLAHOMA CITY, OK 73142-1922
- **Mailing address phone:** (405) 621-8800
- **Mailing address fax:** (405) 621-8802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0051 | OK | Yes |

## Other

- **Enumeration date:** 08/30/2005
- **Last updated:** 08/29/2007