Provider Demographics
NPI:1538418504
Name:TOWSLEY, DANIEL KENT (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:KENT
Last Name:TOWSLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 E 45TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-5147
Mailing Address - Country:US
Mailing Address - Phone:918-743-0002
Mailing Address - Fax:
Practice Address - Street 1:2502 E 45TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-5147
Practice Address - Country:US
Practice Address - Phone:918-743-0002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13376208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery