Provider Demographics
NPI:1366562589
Name:PLASTIC SURGERY ASSOCIATES OF TULSA
Entity type:Organization
Organization Name:PLASTIC SURGERY ASSOCIATES OF TULSA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PALMER
Authorized Official - Middle Name:R
Authorized Official - Last Name:RAMEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:918-481-2900
Mailing Address - Street 1:6585 S YALE AVE
Mailing Address - Street 2:SUITE 1020
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-8384
Mailing Address - Country:US
Mailing Address - Phone:918-481-2900
Mailing Address - Fax:918-481-2985
Practice Address - Street 1:6585 S YALE AVE
Practice Address - Street 2:SUITE 1020
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-8384
Practice Address - Country:US
Practice Address - Phone:918-481-2900
Practice Address - Fax:918-481-2985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty