Harold H Haralson II, M.D.
Individual provider Active NPI General Practice Physician · Noble, OK
NPI 1679520209 · NPPES record last updated Jul 11, 2016
Key facts
- NPI
- 1679520209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- OK13229 (OK)
- Practice address
- 408 N Main St
Pob 519
Noble, OK 73068-9574 - Phone
- (405) 872-3885
- Fax
- (405) 872-9758
- NPI assigned
- May 28, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100603000158 | OK | Practitioner - Family Practice | 2365488293 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OK13229 | OK | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | OK13229 | OK | Yes |
Addresses
Primary practice location
408 N Main St
Pob 519
Noble, OK 73068-9574
Mailing address
408 N Main St
Pob 519
Noble, OK 73068-9574
Phone (405) 872-3885
Other providers in Noble, OK
- Kevin Jay Faris
- James Donald Gilliam
- Clifford John Gilson
- Rhonda Hackney
- Angel Haggard
- Lillie Faye Henderson
- High Cedar Res. Care
- High Cedar Residential Care
- Hannah Marie Hixon
- Kaitlyn Hunter
All providers in Noble, OK · General Practice Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.