Provider Demographics
NPI:1245551308
Name:MACALLISTER, CRISTA J (MD)
Entity type:Individual
Prefix:DR
First Name:CRISTA
Middle Name:J
Last Name:MACALLISTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:CRISTA
Other - Middle Name:J
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5300 N INDEPENDENCE AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5555
Mailing Address - Country:US
Mailing Address - Phone:405-552-0155
Mailing Address - Fax:
Practice Address - Street 1:11101 HEFNER POINTE DR STE 204
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-5054
Practice Address - Country:US
Practice Address - Phone:405-936-1000
Practice Address - Fax:405-936-1001
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK27772207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology