Provider Demographics
NPI:1912090218
Name:TULSA HAND SURGERY CENTER LLC
Entity Type:Organization
Organization Name:TULSA HAND SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:CLENDENIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-749-1418
Mailing Address - Street 1:2000 S WHEELING
Mailing Address - Street 2:SUITE 910
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5647
Mailing Address - Country:US
Mailing Address - Phone:918-749-1418
Mailing Address - Fax:918-749-6241
Practice Address - Street 1:2000 S WHEELING
Practice Address - Street 2:SUITE 910
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-5647
Practice Address - Country:US
Practice Address - Phone:918-749-1418
Practice Address - Fax:918-749-6241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical