Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aesthetic Surgery of Tulsa, PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1164651394

Aesthetic Surgery of Tulsa, PLLC is a Plastic and Reconstructive Surgery Physician in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2009.

Licensed in
OK
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6802 S Olympia Ave Ste G113
Tulsa, OK 74132-1823
Phone: (918) 960-3033
Fax: (918) 960-3035
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 22998 (OK)

Record details

NPI number1164651394
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Mitchell — President · (918) 504-0364
NPI enumeratedJuly 9, 2009
Last updated in NPPESJuly 9, 2009
Mailing address11913 S Sandusky Ave, Tulsa, OK 74137-1801

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