Healthcare Provider Details

I. General information

NPI: 1306020482
Provider Name (Legal Business Name): WILLIAM P TRUELS MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2007
Last Update Date: 08/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5701 N PORTLAND SUITE 120
OKLA CITY OK
73112-1670
US

IV. Provider business mailing address

4025 SPYGLASS ROAD
OKLAHOMA CITY OK
73120
US

V. Phone/Fax

Practice location:
  • Phone: 405-951-4110
  • Fax: 405-951-4111
Mailing address:
  • Phone: 405-607-8228
  • Fax: 405-607-8236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number10386
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number10386
License Number StateOK

VIII. Authorized Official

Name: WILLIAM PAUL TRUELS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 405-607-8228