Organization
OKLAHOMA CITY ANESTHESIA, LLC
Active
Organization
OKLAHOMA CITY ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN TANNER BAYLESS M.D. (OWNER/MANAGING MEMBER)
(405) 250-4221
Entity
Organization
Contact information
Practice address
11200 N. PORTLAND AVE., OKLAHOMA CITY, OK 73120
(405) 296-3270
(918) 720-0270
Mailing address
3333 NW 63RD ST., SUITE 106, OKLAHOMA CITY, OK 73116
(405) 296-3270
(918) 720-0270
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100748950A
—
OK
Enumeration date
03/24/2006
Last updated
06/06/2022
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