MEDICARE: RAY CLAUDE BABB JR. M.D.

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
1	207V00000X	Obstetrics & Gynecology Physician	11773	OK

General Provider Information

NPI Number	:	1922194489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAY CLAUDE BABB JR. M.D.

Provider Business Mailing Address
First Line	:	6465 S. YALE AVENUE
Second Line	:	SUITE 605
City	:	TULSA
State	:	OK
Zip	:	74136-7808
Country	:	US
Telephone Number	:	918-481-4860
Fax Number	:	918-481-4864

Provider Business Practice Location Address
First Line	:	6465 S. YALE AVENUE
Second Line	:	SUITE 605
City	:	TULSA
State	:	OK
Zip	:	74136-7808
Country	:	US
Telephone Number	:	918-481-4860
Fax Number	:	918-481-4864

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	07/08/2007

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