| Doctor Name: | MR. PAUL EDWARD CALLICOAT |
| NPI Number: | 1063411536 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 17987 |
| Business Practice Address: | 900 E 13th St Suite 200 Grove, OK - 743442975 |
| Business Phone Number: | 9187867667 |
| Business Fax Number: | 9187867699 |
| Mailing Address: | Po Box 450968, GROVE |
| State: | OK |
| Postal Code: | 743450968 |
| Phone Number: | 9187867667 |
| Fax Number: | 9187867699 |
| NPI Enumeration Date: | 07/18/2005 |
| NPI Last Update Date: | 05/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 17987 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |