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NPI Code Detail

MEDICARE: TROY R NORRED MD PC

MEDICARE: TROY R NORRED MD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician
2207RI0011XInterventional Cardiology Physician

General Provider Information

NPI Number : 1043143621
Entity Type Code : Organization
Provider Name (Legal Business Name) : TROY R NORRED MD PC
Provider Business Mailing Address
First Line : 3012 ARLINGTON ST
Second Line :
City : ADA
State : OK
Zip : 74820-3073
Country : US
Telephone Number : 580-272-0715
Fax Number : 580-272-6555
Provider Business Practice Location Address
First Line : 3012 ARLINGTON ST
Second Line :
City : ADA
State : OK
Zip : 74820-3073
Country : US
Telephone Number : 580-272-0715
Fax Number : 580-272-6555
Authorized Official
Title or Position : OWNER
Name : TROY R NORRED
Credential : MD
Telephone Number : 580-272-0715
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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