Provider Demographics
NPI:1598544298
Name:HARPER, MARCUS RAMON
Entity Type:Individual
Prefix:
First Name:MARCUS
Middle Name:RAMON
Last Name:HARPER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 W NEWTON ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74127-3019
Mailing Address - Country:US
Mailing Address - Phone:918-381-9719
Mailing Address - Fax:
Practice Address - Street 1:6028 S 66TH EAST AVE STE 102
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-9226
Practice Address - Country:US
Practice Address - Phone:918-764-8067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator