Provider Demographics
NPI:1881850014
Name:GLENA D CATON MD PLLC
Entity Type:Organization
Organization Name:GLENA D CATON MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GLENA
Authorized Official - Middle Name:DRU
Authorized Official - Last Name:CATON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-599-8200
Mailing Address - Street 1:1809 E 13TH ST
Mailing Address - Street 2:STE 400
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4419
Mailing Address - Country:US
Mailing Address - Phone:918-599-8200
Mailing Address - Fax:918-587-1767
Practice Address - Street 1:1809 E 13TH ST
Practice Address - Street 2:STE 400
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4419
Practice Address - Country:US
Practice Address - Phone:918-599-8200
Practice Address - Fax:918-587-1767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK23067208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty