Provider Demographics
NPI:1225273980
Name:SURGICAL DECISIONS L.L.C
Entity Type:Organization
Organization Name:SURGICAL DECISIONS L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:L
Authorized Official - Last Name:BOWEN
Authorized Official - Suffix:
Authorized Official - Credentials:CFA/LPN
Authorized Official - Phone:918-812-7447
Mailing Address - Street 1:10605 S LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:SAPULPA
Mailing Address - State:OK
Mailing Address - Zip Code:74066-1828
Mailing Address - Country:US
Mailing Address - Phone:918-812-7447
Mailing Address - Fax:918-296-9491
Practice Address - Street 1:10605 S LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-1828
Practice Address - Country:US
Practice Address - Phone:918-812-7447
Practice Address - Fax:918-296-9491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKL 0053790164W00000X
OK111647246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty