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NPI Code Detail

MEDICARE: ADVANCED OUTPATIENT SURGERY OF OKLAHOMA, LLC

MEDICARE: ADVANCED OUTPATIENT SURGERY OF OKLAHOMA, LLC
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
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1447661145
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED OUTPATIENT SURGERY OF OKLAHOMA, LLC
Provider Business Mailing Address
First Line : 8145 SOUTH MINGO ROAD
Second Line : STE 102
City : TULSA
State : OK
Zip : 74133-5805
Country : US
Telephone Number : 918-893-9445
Fax Number : 918-359-5831
Provider Business Practice Location Address
First Line : 8145 SOUTH MINGO ROAD
Second Line : STE 102
City : TULSA
State : OK
Zip : 74133-5805
Country : US
Telephone Number : 918-893-9445
Fax Number : 918-359-5831
Authorized Official
Title or Position : PHYSICIAN PARTNER
Name : KRIS PARCHURI
Credential :
Telephone Number : 918-630-1647
Provider Enumeration Date : 05/15/2014
Last Update Date : 12/03/2025

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Directions to “ADVANCED OUTPATIENT SURGERY OF OKLAHOMA, LLC ” Practice Location

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