Healthcare Provider Details

I. General information

NPI: 1427056290
Provider Name (Legal Business Name): WILLIAM PAUL HARRIS M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 E ROBINSON ST
NORMAN OK
73071-6610
US

IV. Provider business mailing address

PO BOX 550
NORMAN OK
73070-0550
US

V. Phone/Fax

Practice location:
  • Phone: 405-364-7900
  • Fax: 405-366-6214
Mailing address:
  • Phone: 405-364-7900
  • Fax: 405-366-6610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number13108
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: