Caylor, Jacob Russell
Caylor, Jacob Russell is an individual health care provider with primary practice located at 13601 W Memorial Park Dr Ste 200 , Oklahoma City OK 73120-8375. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Caylor, Jacob Russell can be contacted via phone (405) 751-0011.Contact Information
Primary practice address
13601 W Memorial Park Dr Ste 200
Oklahoma City OK 73120-8375
Phone: (405) 751-0011
Fax: (405) 751-7246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A152887 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD61170608 | Washington |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 47427 | Oklahoma |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | T9363 | Texas |
Profile Details
| NPI number | 1013370717 |
|---|---|
| LBN Legal business name | Caylor, Jacob Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2016 |
| Last updated | Mar 10th, 2026 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013370717 | NPPES |
| Texas | Other | 2J6973 | TEXAS MEDICARE PTAN |
| Texas | Other | 2J6974 | TEXAS MEDICARE PTAN |
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