Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 38008 | OK |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | Q8900 | TX |
NPI | 1568881753 |
---|---|
Provider Name | Dr. Adam Hare |
First Address | Oklahoma City, OK 73120-5607 |
Second Address | Oklahoma City, OK 73104-5417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 03/08/2021 |