Healthcare Provider Details

I. General information

NPI: 1043143621
Provider Name (Legal Business Name): TROY R NORRED MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3012 ARLINGTON ST
ADA OK
74820-3073
US

IV. Provider business mailing address

3012 ARLINGTON ST
ADA OK
74820-3073
US

V. Phone/Fax

Practice location:
  • Phone: 580-272-0715
  • Fax: 580-272-6555
Mailing address:
  • Phone: 580-272-0715
  • Fax: 580-272-6555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: TROY R NORRED
Title or Position: OWNER
Credential: MD
Phone: 580-272-0715