MEDICARE: ELIZABETH PARRO GAWEY MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	18603	OK

General Provider Information

NPI Number	:	1306121413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIZABETH PARRO GAWEY MD PC

Provider Business Mailing Address
First Line	:	PO BOX 21228 DEPT #59
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74121-1228
Country	:	US
Telephone Number	:	405-521-1969
Fax Number	:	405-521-1979

Provider Business Practice Location Address
First Line	:	3435 NW 56TH ST STE 707
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4414
Country	:	US
Telephone Number	:	405-951-8711
Fax Number	:	405-951-8727

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	MRS. ELIZABETH PARRO GAWEY
Credential	:	MD
Telephone Number	:	405-951-8711

Provider Enumeration Date	:	10/20/2011
Last Update Date	:	07/21/2022

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