Teresa Dianne Gant, CASE MANAGER
Individual provider Active NPI Case Manager/Care Coordinator · Frederick, OK
NPI 1649500372 · NPPES record last updated Dec 31, 2009
Key facts
- NPI
- 1649500372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 20174 (OK)
- Practice address
- 22007 County Road Ew 185
Frederick, OK 73542-9118 - Phone
- (580) 335-5411
- NPI assigned
- Dec 31, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20174 | OK | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 20174 | OK | Yes |
Addresses
Primary practice location
22007 County Road Ew 185
Frederick, OK 73542-9118
Mailing address
22007 County Road Ew 185
Frederick, OK 73542-9118
Phone (580) 335-5411
Other providers in Frederick, OK
- Frederick Pharmacy Inc
- Frederick Pharmacy Inc
- Frederick Pharmacy, Inc.
- Full Circle Therapy
- Patricia Ann Gaffney
- Garrett Gilmore Counseling & Consulting, PLLC
- Cletus Gibbs
- Garrett Thomas Gilmore
- Gregory S. Howard DC PC
- Elaine Marie Harder
All providers in Frederick, OK · Case Manager/Care Coordinator in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.