Healthcare Provider Details

I. General information

NPI: 1952569949
Provider Name (Legal Business Name): TERRY GILE DO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2008
Last Update Date: 05/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 W GRAY ST
NORMAN OK
73069-7117
US

IV. Provider business mailing address

419 W GRAY ST
NORMAN OK
73069-7117
US

V. Phone/Fax

Practice location:
  • Phone: 405-364-6182
  • Fax: 405-364-5379
Mailing address:
  • Phone: 405-364-6182
  • Fax: 405-364-5379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2276
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TERRY M GILE
Title or Position: PRESIDENT
Credential: DO
Phone: 918-485-5514