Healthcare Provider Details

I. General information

NPI: 1346091279
Provider Name (Legal Business Name): ERIN ELIZABETH DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2024
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E MAIN ST
NORMAN OK
73071-5305
US

IV. Provider business mailing address

900 E MAIN ST BLDG 54
NORMAN OK
73071-5305
US

V. Phone/Fax

Practice location:
  • Phone: 405-321-4880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number9708
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: