Healthcare Provider Details

I. General information

NPI: 1013007525
Provider Name (Legal Business Name): PAUL J GEHRING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 04/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 S WHEELING AVE STE 700
TULSA OK
74104-5636
US

IV. Provider business mailing address

1919 S WHEELING AVE STE 700
TULSA OK
74104-5636
US

V. Phone/Fax

Practice location:
  • Phone: 918-712-8700
  • Fax:
Mailing address:
  • Phone: 918-712-8700
  • Fax: 918-749-7806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number19038
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: