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Organization

UROLOGY SPECIALISTS OF CENTRAL OKLAHOMA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EN SHEA SAMARA MD (MANAGING PARTNER)
(405) 943-1137
Entity
Organization

Contact information

Practice address
5401 N. PORTLAND AVE. SUITE 440, OKLAHOMA CITY, OK 73112
(405) 943-1137
(405) 947-0731
Mailing address
5401 N. PORTLAND AVE. SUITE 440, OKLAHOMA CITY, OK 73112
(405) 943-1137
(405) 947-0731

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200438780A
OK
Enumeration date
01/26/2012
Last updated
04/22/2026
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