Organization
NORMAN NEPHROLOGY, P.L.L.C.
Active
Organization
NORMAN NEPHROLOGY, P.L.L.C.
Active
Other names
Sooner Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSWALD LLANDEROSOS M.D. (MEMBER)
(405) 329-3830
Entity
Organization
Contact information
Practice address
1561 N PORTER AVE, NORMAN, OK 73071-6621
(405) 329-3830
(405) 329-3791
Mailing address
1561 N PORTER AVE, NORMAN, OK 73071-6621
(405) 329-3830
(405) 329-3791
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006110A
—
OK
Enumeration date
05/10/2007
Last updated
02/05/2010
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