Provider Demographics
NPI:1790301711
Name:MAJOR, MARCUS D SR (RRT,RCP)
Entity Type:Individual
Prefix:MR
First Name:MARCUS
Middle Name:D
Last Name:MAJOR
Suffix:SR
Gender:M
Credentials:RRT,RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 W WILSHIRE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-7702
Mailing Address - Country:US
Mailing Address - Phone:405-840-5272
Mailing Address - Fax:405-840-5274
Practice Address - Street 1:415 W WILSHIRE BLVD STE A
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-7702
Practice Address - Country:US
Practice Address - Phone:405-840-5272
Practice Address - Fax:405-840-5274
Is Sole Proprietor?:No
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK35372278H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health