Healthcare Provider Details

I. General information

NPI: 1578884268
Provider Name (Legal Business Name): NORMAN HEART AND VASCULAR ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2010
Last Update Date: 10/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 HEALTHPLEX PKWY SUITE 200
NORMAN OK
73072-9738
US

IV. Provider business mailing address

PO BOX 1330
NORMAN OK
73070-1330
US

V. Phone/Fax

Practice location:
  • Phone: 405-515-2222
  • Fax: 405-515-2249
Mailing address:
  • Phone: 405-307-1860
  • Fax: 405-307-2049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. GREG L TERRELL
Title or Position: SR VP, COO
Credential:
Phone: 405-307-1000