Provider Demographics
NPI:1255529871
Name:HAROLD H HARALSON II MD INC
Entity type:Organization
Organization Name:HAROLD H HARALSON II MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:H
Authorized Official - Last Name:HARALSON
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:405-872-3885
Mailing Address - Street 1:516 AVON DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-3850
Mailing Address - Country:US
Mailing Address - Phone:405-366-7835
Mailing Address - Fax:
Practice Address - Street 1:516 AVON DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-3850
Practice Address - Country:US
Practice Address - Phone:405-366-7835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK800522164Medicare PIN