Organization
TULSA AMBULATORY PROCEDURE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYEN PATEL MD (OWNER)
(918) 935-3200
Entity
Organization
Contact information
Practice address
2811 E 15TH ST STE 101, TULSA, OK 74104-5242
(918) 935-3200
(918) 935-3201
Mailing address
2811 E 15TH ST, STE 101, TULSA, OK 74104-5245
(918) 935-3200
(918) 935-3201
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200501680A
—
OK
Enumeration date
01/05/2012
Last updated
06/12/2024
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