Organization Name: | MARSHA K. HOWERTON, MD, PC |
NPI Number: | 1003107863 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REGINA RENEE BEACHAM (CREDENTIALER) |
Mailing Address: | 6465 S Yale Ave Suite 310 Tulsa |
State: | OK US |
Postal Code: | 741367823 |
Phone Number: | 9184812941 |
Fax Number: | 9184812942 |
NPI Enumeration Date: | 04/28/2011 |
NPI Last Update Date: | 04/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 16121 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |