Provider Demographics
NPI:1497163125
Name:CAWLFIELD, JOHN ROBERT JR
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ROBERT
Last Name:CAWLFIELD
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 W HIGHPOINT DR
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74075-1531
Mailing Address - Country:US
Mailing Address - Phone:405-592-6229
Mailing Address - Fax:405-743-1840
Practice Address - Street 1:607 W HIGHPOINT DR
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74075-1531
Practice Address - Country:US
Practice Address - Phone:405-592-6229
Practice Address - Fax:405-743-1840
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-25
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator