Healthcare Provider Details

I. General information

NPI: 1740144369
Provider Name (Legal Business Name): RADIATION SPECIALISTS OF OKLAHOMA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11212 E 48TH ST
TULSA OK
74146-5824
US

IV. Provider business mailing address

11212 E 48TH ST
TULSA OK
74146-5824
US

V. Phone/Fax

Practice location:
  • Phone: 918-497-3718
  • Fax: 918-497-3783
Mailing address:
  • Phone: 918-497-3718
  • Fax: 918-497-3783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN Z SACK
Title or Position: OWNER/AUTHORIZED OFFICIAL
Credential: MD, PHD
Phone: 918-497-3718