Provider Demographics
NPI:1104671767
Name:TAT GAS, PLLC
Entity type:Organization
Organization Name:TAT GAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:TORTORICI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-209-0519
Mailing Address - Street 1:17401 HAWKS VIEW CT
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-0605
Mailing Address - Country:US
Mailing Address - Phone:405-209-0519
Mailing Address - Fax:580-332-5750
Practice Address - Street 1:3200 QUAIL SPRINGS PKWY STE 100
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-2698
Practice Address - Country:US
Practice Address - Phone:405-701-9899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty