Provider Demographics
NPI:1760788962
Name:ROWLAN SURGICAL PLLC
Entity Type:Organization
Organization Name:ROWLAN SURGICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROWLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-713-4540
Mailing Address - Street 1:3400 NW EXPRESSWAY BLDG C
Mailing Address - Street 2:SUITE 812
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4493
Mailing Address - Country:US
Mailing Address - Phone:405-713-4540
Mailing Address - Fax:405-713-4539
Practice Address - Street 1:3400 NW EXPRESSWAY BLDG C
Practice Address - Street 2:SUITE 812
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4493
Practice Address - Country:US
Practice Address - Phone:405-713-4540
Practice Address - Fax:405-713-4539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-04
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20292208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty