Healthcare Provider Details

I. General information

NPI: 1831485267
Provider Name (Legal Business Name): OKLAHOMA CANCER AND BLOOD SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2011
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 HEFNER POINTE DR STE A
OKLAHOMA CITY OK
73120-5049
US

IV. Provider business mailing address

11100 HEFNER POINTE DR STE A
OKLAHOMA CITY OK
73120-5049
US

V. Phone/Fax

Practice location:
  • Phone: 405-752-0871
  • Fax: 405-755-9510
Mailing address:
  • Phone: 405-752-0871
  • Fax: 405-755-9510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number20272
License Number StateOK

VIII. Authorized Official

Name: DENISE ELAINE BORRELL
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 405-752-0871