MEDICARE: DR. ELIZABETH PARRO GAWEY 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	207N00000X	Dermatology Physician	18603	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1306121413	OTHER	OK	GROUP NPI

General Provider Information

NPI Number	:	1942215900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH PARRO GAWEY M.D.

Provider Business Mailing Address
First Line	:	P O BOX 21228, DEPT #59
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74121-1228
Country	:	US
Telephone Number	:	405-521-1969
Fax Number	:	405-521-1979

Provider Business Practice Location Address
First Line	:	3435 NW 56TH ST STE 707
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4414
Country	:	US
Telephone Number	:	405-951-8711
Fax Number	:	405-951-8727

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

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	07/21/2022

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