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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