Healthcare Provider Details

I. General information

NPI: 1730120155
Provider Name (Legal Business Name): JEAN-LOUIS GABRIEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10507 E 91ST ST STE 450
TULSA OK
74133-5515
US

IV. Provider business mailing address

10507 E 91ST ST STE 350
TULSA OK
74133-5598
US

V. Phone/Fax

Practice location:
  • Phone: 918-307-3170
  • Fax:
Mailing address:
  • Phone: 918-451-3000
  • Fax: 918-451-2700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number31790
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number33451
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: