Tlc The Laser Center (Northeast) INC.
Clinic/Center in Tulsa, OK. Organization (NPI-2).
NPI number1801001086
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1801001086
- Entity type
- Organization (NPI-2)
- Legal business name
- Tlc The Laser Center (Northeast) INC.
- Organization subpart
- No
- Enumeration date
- May 11, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Tlc Laser Eye Centers Tulsa (Doing Business As)
Practice location
9445 S Mingo RdSte. 120
Tulsa, OK 74133-5792
Phone 918-398-6565
Mailing address
16305 Swingley Ridge RdSte. 300
Chesterfield, MO 63017-1777
Phone 636-534-2300
Authorized official
Brian L Andrew
Secretary
6365342300
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