Organization · Type 2 NPI

Board of Regents of the University of Oklahoma

Procedural Dermatology Physician · Tulsa, OK

NPI number 1992748917 Active

Practice location

1705 E 19th St, Suite 502 Ou Physicians Tulsa Dermatology Clinic
Tulsa, OK 74104-5405

Call (918) 743-6675 Map

Mailing address

4502 E 41st St 2GO8, Ou Physicians Tulsa - Office Clinical Services
Tulsa, OK 74134-2553

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000XNone listed
Procedural Dermatology Physician Primary 207NS0135XNone listed

Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…

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About NPI 1992748917

Board of Regents of the University of Oklahoma's National Provider Identifier is 1992748917, issued on Jun 14, 2006. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Tulsa, OK. The record was last updated on Sep 11, 2025.