| Doctor Name: | DR. BRENT NEAL HISEY |
| NPI Number: | 1205826955 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | OK14408 |
| Business Practice Address: | 14100 Parkway Commons Dr Suite 201 Oklahoma City, OK - 731346015 |
| Business Phone Number: | 4052424720 |
| Business Fax Number: | 4052424724 |
| Mailing Address: | Po Box 1409, NORMAN |
| State: | OK |
| Postal Code: | 730701409 |
| Phone Number: | 4053296100 |
| Fax Number: | 4053264186 |
| NPI Enumeration Date: | 10/25/2005 |
| NPI Last Update Date: | 09/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | OK14408 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |