Provider Demographics
NPI:1275518045
Name:HONEYCUTT, CONSTANCE GILBERT (DO)
Entity Type:Individual
Prefix:DR
First Name:CONSTANCE
Middle Name:GILBERT
Last Name:HONEYCUTT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:CONNIE
Other - Middle Name:
Other - Last Name:HONEYCUTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:5550 S GARNETT RD STE 200
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-6830
Mailing Address - Country:US
Mailing Address - Phone:918-665-2501
Mailing Address - Fax:918-656-3966
Practice Address - Street 1:5550 S GARNETT RD STE 200
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-6830
Practice Address - Country:US
Practice Address - Phone:918-665-2501
Practice Address - Fax:918-665-3966
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3069204D00000X, 207Q00000X, 2084A0401X, 2083A0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100048630FMedicaid
OK100048360DMedicaid