Organization
VEIN CARE CENTER OF OKLAHOMA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT B. MAMMANA M.D. (MANAGING MEMBER)
(918) 502-3600
Entity
Organization
Contact information
Practice address
6151 S YALE AVE, SUITE 1-302, TULSA, OK 74136-1907
(918) 502-3600
(918) 502-3610
Mailing address
6151 S YALE AVE, SUITE 1-302, TULSA, OK 74136-1907
(918) 502-3600
(918) 502-3610
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
20034
OK
Other
Enumeration date
09/14/2010
Last updated
10/01/2010
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