| Organization Name: | DIALYSIS SPECIALISTS OF CENTRAL OKLAHOMA |
| NPI Number: | 1083715981 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURA I RANKIN (OWNER MEDICAL DIRECTOR) |
| Mailing Address: | 3366 Nw Expressway Suite 670 Okc |
| State: | OK US |
| Postal Code: | 73112 |
| Phone Number: | 4059425442 |
| Fax Number: | 4059426448 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD1100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Dialysis, Peritoneal |
| Taxonomy Definition: | |