Provider Demographics
NPI:1013263136
Name:HAGGINS, SYDNEY EVA-MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:EVA-MARIE
Last Name:HAGGINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 W KANSAS STREET
Mailing Address - Street 2:
Mailing Address - City:OKARCHE
Mailing Address - State:OK
Mailing Address - Zip Code:73762
Mailing Address - Country:US
Mailing Address - Phone:405-263-7263
Mailing Address - Fax:405-263-7716
Practice Address - Street 1:315 W KANSAS STREET
Practice Address - Street 2:
Practice Address - City:OKARCHE
Practice Address - State:OK
Practice Address - Zip Code:73762
Practice Address - Country:US
Practice Address - Phone:405-263-7263
Practice Address - Fax:405-263-7716
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-26
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0072078207Q00000X
OK29389207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine