Healthcare Provider Details

I. General information

NPI: 1811959166
Provider Name (Legal Business Name): ANDREW MARK HOELSCHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DREW HOELSCHER M.D.

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 11/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8105 NW EXPRESSWAY
OKLAHOMA CITY OK
73162-6004
US

IV. Provider business mailing address

8105 NW EXPRESSWAY
OKLAHOMA CITY OK
73162-6004
US

V. Phone/Fax

Practice location:
  • Phone: 405-602-3500
  • Fax: 405-602-3550
Mailing address:
  • Phone: 405-602-3500
  • Fax: 405-602-3550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number18631
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: