Provider Demographics
NPI:1710366984
Name:HARTMAN, MEREDITH HARRELL (MD)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:HARRELL
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:LYNN
Other - Last Name:HARTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3151 W TECUMSEH RD STE 230
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-1846
Mailing Address - Country:US
Mailing Address - Phone:405-310-3088
Mailing Address - Fax:405-928-5514
Practice Address - Street 1:3151 W TECUMSEH RD STE 230
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-1846
Practice Address - Country:US
Practice Address - Phone:405-310-3088
Practice Address - Fax:405-928-5514
Is Sole Proprietor?:No
Enumeration Date:2015-05-21
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX390200000X
LA301937390200000X
OK34672207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program