Healthcare Provider Details

I. General information

NPI: 1316596117
Provider Name (Legal Business Name): ANTHONY HURLEY BELL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2019
Last Update Date: 09/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2316 N INTERSTATE DR
NORMAN OK
73072-2942
US

IV. Provider business mailing address

1406 KINGSTON RD
NORMAN OK
73071-3822
US

V. Phone/Fax

Practice location:
  • Phone: 405-249-2377
  • Fax:
Mailing address:
  • Phone: 310-386-8988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: