Healthcare Provider Details

I. General information

NPI: 1255699112
Provider Name (Legal Business Name): MEGHAN E. SCEARS, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2012
Last Update Date: 04/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 24TH AVE NW STE 202
NORMAN OK
73069-6204
US

IV. Provider business mailing address

808 24TH AVE NW STE 202
NORMAN OK
73069-6204
US

V. Phone/Fax

Practice location:
  • Phone: 405-801-2323
  • Fax: 405-801-2366
Mailing address:
  • Phone: 405-801-2323
  • Fax: 405-801-2366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number26440
License Number StateOK

VIII. Authorized Official

Name: DR. MEGHAN E. SCEARS
Title or Position: PHYSICIAN/OWNER
Credential: M.D.
Phone: 405-801-2323