Provider Demographics
NPI:1851745830
Name:PARTON, TERRY
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:
Last Name:PARTON
Suffix:
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 1:400 N JENKINS
Mailing Address - Street 2:
Mailing Address - City:TONKAWA
Mailing Address - State:OK
Mailing Address - Zip Code:74653
Mailing Address - Country:US
Mailing Address - Phone:580-491-3641
Mailing Address - Fax:
Practice Address - Street 1:400 N JENKINS ST
Practice Address - Street 2:
Practice Address - City:TONKAWA
Practice Address - State:OK
Practice Address - Zip Code:74653-4015
Practice Address - Country:US
Practice Address - Phone:580-491-3641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator