Organization · Type 2 NPI
Aesthetic Institute of Oklahoma PLLC
Facial Plastic Surgery Physician · Edmond, OK
NPI number
1972487254
Active
Practice location
4509 Integris Pkwy Ste 350
Edmond, OK 73034-8696
Fax (405) 657-3896
Mailing address
PO Box 797
Oklahoma City, OK 73101-0797
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | None listed |
| Facial Plastic Surgery Physician Primary | 207YS0123X | None listed |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
Another provider at this address
About NPI 1972487254
Aesthetic Institute of Oklahoma PLLC's National Provider Identifier is 1972487254, issued on Aug 1, 2025. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Edmond, OK. The record was last updated on Aug 1, 2025.