Provider Demographics
NPI:1306121413
Name:ELIZABETH PARRO GAWEY MD PC
Entity type:Organization
Organization Name:ELIZABETH PARRO GAWEY MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:PARRO
Authorized Official - Last Name:GAWEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-951-8711
Mailing Address - Street 1:PO BOX 21228 DEPT #59
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74121-1228
Mailing Address - Country:US
Mailing Address - Phone:405-521-1969
Mailing Address - Fax:405-521-1979
Practice Address - Street 1:3435 NW 56TH ST STE 707
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4414
Practice Address - Country:US
Practice Address - Phone:405-951-8711
Practice Address - Fax:405-951-8727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK18603207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKF35970Medicare UPIN