Provider Demographics
NPI:1700011756
Name:MASTERS, OSCAR EUGENIO III (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:EUGENIO
Last Name:MASTERS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10900 HEFNER POINTE DR STE 505
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-5006
Mailing Address - Country:US
Mailing Address - Phone:405-246-0391
Mailing Address - Fax:405-246-0392
Practice Address - Street 1:5300 N GRAND BLVD
Practice Address - Street 2:#205
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-5647
Practice Address - Country:US
Practice Address - Phone:405-945-0001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP1-0034952208200000X
TXQ09722086S0122X
OK310562086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery