Doctor Name: | SAUNDRA S BASEY HERRIAGE |
NPI Number: | 1043495096 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 5806 Nw 63rd St Oklahoma City, OK - 731327735 |
Business Phone Number: | 4057521291 |
Business Fax Number: | 4054701754 |
Mailing Address: | 5806 Nw 63rd St, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731327735 |
Phone Number: | 4057521291 |
Fax Number: | 4054701754 |
NPI Enumeration Date: | 01/08/2008 |
NPI Last Update Date: | 01/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |