COSMETIC SURGERY CENTER OF ARDMORE LLC NPI 1093792681

NPI Information

NPI: 1093792681
Provider Name: COSMETIC SURGERY CENTER OF ARDMORE LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 37D2001645

Address:
818 16TH AVE NW
ARDMORE, OK
ZIP 73401
Phone: (580) 226-2171
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COSMETIC SURGERY CENTER OF ARDMORE LLC is an ambulatory surgical clinic center in Ardmore, OK. COSMETIC SURGERY CENTER OF ARDMORE LLC NPI is 1093792681. The provider is registered as an organization entity type.

The provider's business location address is:

818 16TH AVE NW
ARDMORE, OK
ZIP 73401-818
Phone: (580) 226-2171
Fax: (580) 226-2772

The provider's authorized official is Harry Galoob .
The authorized official title is Owner and has the following contact phone number (580) 226-2171.

The CLIA number assigned to this NPI record is 37D2001645 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 2/19/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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