Organization
NORMAN NEPHROLOGY PLLC
Active
Organization
NORMAN NEPHROLOGY PLLC
Active
Other names
Sooner Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSVALDO RENE LLAN DE ROSOS MD (PARTNER)
(405) 217-8500
Entity
Organization
Contact information
Practice address
1561 N PORTER AVE, NORMAN, OK 73071-6621
(405) 217-8500
(405) 217-8501
Mailing address
1561 N PORTER AVE, NORMAN, OK 73071-6621
(405) 217-8500
(405) 217-8501
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
04/11/2007
Last updated
01/14/2010
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