Provider Demographics
NPI:1275808867
Name:BREAST HEALTH SPECIALISTS OF OKLAHOMA PLLC
Entity Type:Organization
Organization Name:BREAST HEALTH SPECIALISTS OF OKLAHOMA PLLC
Other - Org Name:JOHN R FRAME MD
Other - Org Type:Other Name
Authorized Official - Title/Position:CREDENTIALING SPECIALISTS
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-748-5004
Mailing Address - Street 1:2448 E 81ST ST
Mailing Address - Street 2:SUITE 1500
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-4250
Mailing Address - Country:US
Mailing Address - Phone:918-392-7950
Mailing Address - Fax:918-392-7949
Practice Address - Street 1:2448 E 81ST ST
Practice Address - Street 2:SUITE 1500
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-4250
Practice Address - Country:US
Practice Address - Phone:918-392-7950
Practice Address - Fax:918-392-7949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12777208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty