Provider Demographics
NPI:1093877870
Name:WILLIAM J HALE II MD PC
Entity Type:Organization
Organization Name:WILLIAM J HALE II MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-749-9820
Mailing Address - Street 1:14100 PARKWAY COMMONS DR
Mailing Address - Street 2:STE. 202
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-6015
Mailing Address - Country:US
Mailing Address - Phone:405-749-9820
Mailing Address - Fax:405-749-9860
Practice Address - Street 1:14100 PARKWAY COMMONS DR
Practice Address - Street 2:STE. 202
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-6015
Practice Address - Country:US
Practice Address - Phone:405-749-9820
Practice Address - Fax:405-749-9860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK248514502Medicare PIN
248514502Medicare ID - Type Unspecified