Tulsa Varicose Vein Center LLC

Organization Active NPI Vascular Surgery Physician · Tulsa, OK

NPI 1831823939 · NPPES record last updated Jul 13, 2022

Key facts

NPI
1831823939
Entity type
Organization (NPI type 2)
Primary specialty
Vascular Surgery Physician 2086S0129X
Legal business name
TULSA VARICOSE VEIN CENTER LLC
Practice address
6565 S Yale Ave Ste 104
Tulsa, OK 74136-8302
Phone
(918) 481-2773
Fax
(918) 481-2774
NPI assigned
Jul 13, 2022
Organization subpart
No

Authorized official

Name
Brian Roadhouse
Title
President
Phone
(918) 481-2773

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

6565 S Yale Ave
Ste 104
Tulsa, OK 74136
Phone (918) 481-2772

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2086S0129X Yes

Addresses

Primary practice location

6565 S Yale Ave Ste 104
Tulsa, OK 74136-8302

Mailing address

6565 S Yale Ave Ste 104
Tulsa, OK 74136-8302
Phone (918) 481-2773

Other providers in Tulsa, OK

All providers in Tulsa, OK · Vascular Surgery Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.