Organization
COSMETIC & VEIN CENTER OF OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADD CLAYTON ATKINS DO (OWNER)
(918) 298-8080
Entity
Organization
Contact information
Practice address
6304 E 102ND ST, TULSA, OK 74137-7061
(918) 298-8080
(918) 528-3841
Mailing address
6304 E 102ND ST, TULSA, OK 74137-7061
(918) 298-8080
(918) 528-3841
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200273820B
—
OK
Enumeration date
12/07/2009
Last updated
06/12/2022
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