Basic Information
| Provider Information | |||||||||
| NPI: | 1396123246 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BURROWS | ||||||||
| FirstName: | CALEB | ||||||||
| MiddleName: | EUGENE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 S WHEELING AVE | ||||||||
| Address2: | STE 900 | ||||||||
| City: | TULSA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 741045647 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9184036284 | ||||||||
| FaxNumber: | 9184036323 | ||||||||
| Practice Location | |||||||||
| Address1: | 2000 S WHEELING AVE | ||||||||
| Address2: | STE 900 | ||||||||
| City: | TULSA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 741045647 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9184036284 | ||||||||
| FaxNumber: | 9184036323 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2015 | ||||||||
| LastUpdateDate: | 09/04/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/04/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207YX0905X | 390200000 | OH | N | Allopathic & Osteopathic Physicians | Otolaryngology | Otolaryngology/Facial Plastic Surgery | 207YX0905X | 7092 | OK | Y | Allopathic & Osteopathic Physicians | Otolaryngology | Otolaryngology/Facial Plastic Surgery |
No ID Information.