Organization
COSMETIC CENTER OF TULSA LLC
Active
Other names
FACE AND BODY MEDICAL AESTHETICS AND COSMETIC SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A CUSHMAN (OFFICE MANAGER)
(918) 298-8080
Entity
Organization
Contact information
Practice address
9906 RIVERSIDE PKWY, TULSA, OK 74137-7409
(918) 298-8080
(918) 528-3841
Mailing address
9906 RIVERSIDE PKWY, TULSA, OK 74137-7409
(918) 298-8080
(918) 528-3841
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4362
OK
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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