Provider Demographics
NPI:1093019069
Name:DENISE L. RABLE, M.D., P.C.
Entity type:Organization
Organization Name:DENISE L. RABLE, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:L
Authorized Official - Last Name:RABLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-801-2424
Mailing Address - Street 1:PO BOX 5117
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070-5117
Mailing Address - Country:US
Mailing Address - Phone:405-801-2424
Mailing Address - Fax:405-307-2090
Practice Address - Street 1:500 E ROBINSON ST
Practice Address - Street 2:SUITE 500
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6697
Practice Address - Country:US
Practice Address - Phone:405-801-2424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK17833208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty