Healthcare Provider Details

I. General information

NPI: 1871501148
Provider Name (Legal Business Name): ROBIN HARMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 10/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11200 N PORTLAND AVE
OKLAHOMA CITY OK
73120-5045
US

IV. Provider business mailing address

PO BOX 18268
OKLAHOMA CITY OK
73154-0268
US

V. Phone/Fax

Practice location:
  • Phone: 405-936-1500
  • Fax: 918-720-0270
Mailing address:
  • Phone: 405-548-8526
  • Fax: 918-720-0270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number19967
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: