Healthcare Provider Details

I. General information

NPI: 1700308228
Provider Name (Legal Business Name): POWERCAT ANESTHESIOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2017
Last Update Date: 07/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 S WESTERN AVE
OKLAHOMA CITY OK
73109-3413
US

IV. Provider business mailing address

4400 NE 92ND ST
OKLAHOMA CITY OK
73131-8210
US

V. Phone/Fax

Practice location:
  • Phone: 405-636-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number28597
License Number StateOK

VIII. Authorized Official

Name: BRIAN CHRISTOPHER SEACAT
Title or Position: OWNER
Credential: MD
Phone: 405-548-8526