Healthcare Provider Details

I. General information

NPI: 1902293020
Provider Name (Legal Business Name): HANNAH HOWARD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 07/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9245 S MINGO RD
TULSA OK
74133-5793
US

IV. Provider business mailing address

1145 S UTICA AVE STE 100
TULSA OK
74104-4000
US

V. Phone/Fax

Practice location:
  • Phone: 918-492-8980
  • Fax:
Mailing address:
  • Phone: 918-579-3825
  • Fax: 918-579-1262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number31452
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: