Provider Demographics
NPI:1033688270
Name:RESULTS MEDICAL AESTHETICS LLC
Entity Type:Organization
Organization Name:RESULTS MEDICAL AESTHETICS LLC
Other - Org Name:LAURA BILBRUCK, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:BILBRUCK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-994-9170
Mailing Address - Street 1:8014 S. 101ST E. AVE.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-4580
Mailing Address - Country:US
Mailing Address - Phone:918-994-9170
Mailing Address - Fax:918-872-6505
Practice Address - Street 1:8014 S. 101ST E. AVE.
Practice Address - Street 2:SUITE 200
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-4580
Practice Address - Country:US
Practice Address - Phone:918-994-9170
Practice Address - Fax:918-872-6505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty