# VASCULAR AND VEIN LASER CENTER

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

## Provider details

- **NPI number:** 1861594046
- **Authorized official:** DR. LARRY KYLE HRDLICKA (D.O.)
- **Authorized official phone:** (918) 341-5311

## Contact information

- **Practice address:** 1220 N FLORENCE AVE, CLAREMORE, OK 74017-4381
- **Practice address phone:** (918) 341-5311
- **Practice address fax:** (918) 341-7338
- **Mailing address:** 1220 N FLORENCE AVE, CLAREMORE, OK 74017-4381
- **Mailing address phone:** (918) 341-5311
- **Mailing address fax:** (918) 341-7338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 8161 | OK | Yes |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 08/22/2020