Provider Demographics
NPI:1740598671
Name:ME HOEN SMITH, PC
Entity Type:Organization
Organization Name:ME HOEN SMITH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIRANDA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SMTIH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-749-5714
Mailing Address - Street 1:4629 S HARVARD AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-2948
Mailing Address - Country:US
Mailing Address - Phone:918-749-5714
Mailing Address - Fax:918-749-5826
Practice Address - Street 1:4629 S. HARVARD
Practice Address - Street 2:SUITE A
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135
Practice Address - Country:US
Practice Address - Phone:918-749-5714
Practice Address - Fax:918-749-5826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK25108174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty