Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 14841 | OK |
Y | 208600000X | Surgeon | 14841 | OK |
N | 2086S0102X | Surgical Critical Care | 14841 | OK |
NPI | 1013987429 |
---|---|
Provider Name | Charles Anthony Howard |
First Address | Oklahoma City, OK 73126-8838 |
Second Address | Tulsa, OK 74104-5638 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 05/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100129810C | (05) | OK |
D66582 | (02) |