Provider Demographics
NPI:1922194489
Name:BABB, RAY CLAUDE JR (MD)
Entity Type:Individual
Prefix:
First Name:RAY
Middle Name:CLAUDE
Last Name:BABB
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6465 S. YALE AVENUE
Mailing Address - Street 2:SUITE 605
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-7808
Mailing Address - Country:US
Mailing Address - Phone:918-481-4860
Mailing Address - Fax:918-481-4864
Practice Address - Street 1:6465 S. YALE AVENUE
Practice Address - Street 2:SUITE 605
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7808
Practice Address - Country:US
Practice Address - Phone:918-481-4860
Practice Address - Fax:918-481-4864
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK11773207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology