Provider Demographics
NPI:1316589781
Name:PATON, AILA
Entity Type:Individual
Prefix:
First Name:AILA
Middle Name:
Last Name:PATON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1517 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DEL CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73115-4960
Mailing Address - Country:US
Mailing Address - Phone:405-868-7436
Mailing Address - Fax:
Practice Address - Street 1:330 W GRAY ST STE 110
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-7111
Practice Address - Country:US
Practice Address - Phone:406-858-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-17
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator