MEDICARE: BREAST HEALTH SPECIALISTS OF OKLAHOMA PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	12777	OK

General Provider Information

NPI Number	:	1275808867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREAST HEALTH SPECIALISTS OF OKLAHOMA PLLC

Provider Business Mailing Address
First Line	:	2448 E 81ST ST
Second Line	:	SUITE 1500
City	:	TULSA
State	:	OK
Zip	:	74137-4250
Country	:	US
Telephone Number	:	918-392-7950
Fax Number	:	918-392-7949

Provider Business Practice Location Address
First Line	:	2448 E 81ST ST
Second Line	:	SUITE 1500
City	:	TULSA
State	:	OK
Zip	:	74137-4250
Country	:	US
Telephone Number	:	918-392-7950
Fax Number	:	918-392-7949

Authorized Official
Title or Position	:	CREDENTIALING SPECIALISTS
Name	:	CINDY L HUGHES
Credential	:
Telephone Number	:	918-748-5004

Provider Enumeration Date	:	03/14/2012
Last Update Date	:	03/16/2026

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