Healthcare Provider Details

I. General information

NPI: 1427084375
Provider Name (Legal Business Name): WILLIAM EDGAR HOOD JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 NW EXPRESSWAY
OKLAHOMA CITY OK
73112-4418
US

IV. Provider business mailing address

3601 CHESTNUT RIDGE RD
OKLAHOMA CITY OK
73120-8902
US

V. Phone/Fax

Practice location:
  • Phone: 405-949-3933
  • Fax: 405-949-3573
Mailing address:
  • Phone: 405-755-0034
  • Fax: 405-302-0016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number6841
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: