Organization
OKLAHOMA COMMONS SURGERY CENTER, LLC
Active
Other names
Oklahoma Commons Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAY E WELLS (DEVELOPMENT COORDINATOR)
(405) 623-7743
Entity
Organization
Contact information
Practice address
1844 E 15TH ST, TULSA, OK 74104-4611
(918) 218-2041
(405) 509-7079
Mailing address
1844 E 15TH ST, TULSA, OK 74104-4611
(918) 218-2041
(405) 509-7079
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
01/10/2022
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