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NPI Code Detail

MEDICARE: TONY RAY GAUGHT CPRSS

MEDICARE:   TONY RAY GAUGHT  CPRSS
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1992680763
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONY RAY GAUGHT CPRSS
Provider Business Mailing Address
First Line : PO BOX 400
Second Line :
City : NORMAN
State : OK
Zip : 73070-0400
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 909 ALAMEDA ST
Second Line :
City : NORMAN
State : OK
Zip : 73071-5229
Country : US
Telephone Number : 405-360-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2025
Last Update Date : 03/09/2026

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Directions to “ TONY RAY GAUGHT CPRSS” Practice Location

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