Healthcare Provider Details
I. General information
NPI: 1124063870
Provider Name (Legal Business Name): RAPHAEL C FRANCISCO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/17/2006
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2029 GORDON COOPER DR
SHAWNEE OK
74801-9005
US
IV. Provider business mailing address
15951 LITTLE AXE DR
NORMAN OK
73026-9088
US
V. Phone/Fax
- Phone: 405-878-5850
- Fax:
- Phone: 405-447-0300
- Fax: 405-701-7631
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 27344 |
| License Number State | OK |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 27344 |
| License Number State | OK |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | 27344 |
| License Number State | OK |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: