# INFECTIOUS DISEASE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053369785
- **Authorized official:** GREG L TERRELL (SR VP, COO)
- **Authorized official phone:** (405) 307-1000

## Contact information

- **Practice address:** 901 N PORTER AVE, NORMAN, OK 73071-6404
- **Practice address phone:** (405) 321-8899
- **Practice address fax:** (405) 321-4433
- **Mailing address:** PO BOX 1330, NORMAN, OK 73070-1330
- **Mailing address phone:** (405) 321-8899
- **Mailing address fax:** (405) 321-4433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | — |
| 207RI0200X | Infectious Disease Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208M00000X | Hospitalist Physician | 24985 | OK | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 07/23/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200082150A | — | OK |