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Contact Information

THERESA L GAVULA, P.A.-C
1200 N PHILLIPS AVE
SUITE 14500
OKLAHOMA CITY, OK73104-4600
 Phone: 405-271-5311
 Fax: 405-271-3767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for THERESA L GAVULA · (Female)

NPI # 1013090919
Status Active
Credentials P.A.-C
Entity Individual
Enumeration date 10/23/2006
Last updated 09/12/2011 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 1312
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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