Healthcare Provider Details

I. General information

NPI: 1396123246
Provider Name (Legal Business Name): CALEB EUGENE BURROWS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2015
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6802 S OLYMPIA AVE STE 200
TULSA OK
74132-1826
US

IV. Provider business mailing address

6802 S OLYMPIA AVE STE 200
TULSA OK
74132-1826
US

V. Phone/Fax

Practice location:
  • Phone: 918-388-9090
  • Fax: 918-388-9093
Mailing address:
  • Phone: 918-388-9090
  • Fax: 918-388-9093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number7092
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: