Organization
THE INSTITUTE OF PLASTIC, RECONSTRUCTION, AND GENERAL SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAOLIEN NGUYEN TU (OWNER)
(405) 642-6368
Entity
Organization
Contact information
Practice address
1002 E CENTRAL BLVD, ANADARKO, OK 73005-4405
(405) 247-2551
Mailing address
PO BOX 10857, MIDWEST CITY, OK 73140-1857
(405) 642-6368
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
19287
OK
174400000X
Specialist
Primary
19687
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746040A
—
OK
Enumeration date
10/05/2007
Last updated
12/17/2025
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