Provider Demographics
NPI:1386892230
Name:NORMAN ENDOSCOPY CENTER, LLC
Entity type:Organization
Organization Name:NORMAN ENDOSCOPY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARKET PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-366-8619
Mailing Address - Street 1:1125 N PORTER AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-6446
Mailing Address - Country:US
Mailing Address - Phone:405-366-8619
Mailing Address - Fax:405-366-1839
Practice Address - Street 1:1515 N PORTER AVE STE 100
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6650
Practice Address - Country:US
Practice Address - Phone:405-366-0969
Practice Address - Fax:405-366-1839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical