Healthcare Provider Details

I. General information

NPI: 1053330886
Provider Name (Legal Business Name): MARGARET A. HALL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 07/22/2011
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

11200 N PORTLAND AVE 2ND FL
OKLAHOMA CITY OK
73120-5045
US

V. Phone/Fax

Practice location:
  • Phone: 405-936-1000
  • Fax: 405-936-1001
Mailing address:
  • Phone: 405-936-1000
  • Fax: 405-936-1001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number18923
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: