Epiphany Dermatology Of Oklahoma, Llc

LBN: Epiphany Dermatology Of Oklahoma, Llc
Epiphany Dermatology Of Oklahoma, Llc is an health care organization with primary practice located at 10115 E 80Th St Ste A , Tulsa OK 74133-3421. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Epiphany Dermatology Of Oklahoma, Llc can be contacted via phone (512) 628-0465, or through Pusta, Gheorghe via phone (512) 628-0465.

Contact Information

Primary practice address
10115 E 80Th St Ste A Tulsa OK 74133-3421
Phone: (512) 628-0465
Fax: (512) 628-0468
Website:
Map and Directions
Authorized official contact:
Name: Pusta, Gheorghe
Phone: (512) 628-0465

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1801320106
LBN Legal business name Epiphany Dermatology Of Oklahoma, Llc
DBA Doing business as
Authorized official Pusta, Gheorghe
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2017
Last updated Dec 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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