Infinity Aesthetic and Laser Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INFINITY AESTHETIC AND LASER CENTER LLC

Practice address

204 N 12TH St
Hugo, OK 74743-3612

Phone

(580) 326-8310

NPI assigned

Aug 3, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leslie Elaine Oates

Title

Owner/Partner

Phone

(580) 326-8310

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1568072791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N 12TH ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747433612",
            "telephone_number": "580-326-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N 12TH ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747433612",
            "telephone_number": "580-326-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY AESTHETIC AND LASER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "OATES",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "580-326-8310"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael J Irvin, D.O
• Olivia Jent
• Jim Wallace & Associates Inc (The Jetty Counseling Center)

• Clinic/Center in Hugo, OK
• Providers in Hugo, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.