Individual provider · Type 1 NPI

Theresa L. Gavula, P.A.-C

Medical Physician Assistant · Oklahoma City, OK

NPI number 1013090919 Active

Practice location

1200 N Phillips Ave, Suite 14500
Oklahoma City, OK 73104-4600

Fax (405) 271-3767

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1312 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1013090919

Theresa L. Gavula, P.A.-C's National Provider Identifier is 1013090919, issued on Oct 23, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Oklahoma City, OK. The record was last updated on Sep 12, 2011.