# OSTEOPATHIC CARDIOVASCULAR SURG INC

> 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:** 1962510438
- **Authorized official:** LARRY DULLYE DO (SURGEON)
- **Authorized official phone:** (918) 585-3372

## Contact information

- **Practice address:** 802 S JACKSON \#200, TULSA, OK 74127-9047
- **Practice address phone:** (918) 585-3372
- **Practice address fax:** (918) 599-9116
- **Mailing address:** 802 S JACKSON \#200, TULSA, OK 74127-9047
- **Mailing address phone:** (918) 585-3372
- **Mailing address fax:** (918) 599-9116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 1569 | OK | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 1962 | OK | — |

## Other

- **Enumeration date:** 08/26/2006
- **Last updated:** 08/22/2020