Provider Demographics
NPI:1477393031
Name:MA, HONGMEI (DIPL OM)
Entity type:Individual
Prefix:
First Name:HONGMEI
Middle Name:
Last Name:MA
Suffix:
Gender:F
Credentials:DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11105 N 132ND EAST AVE
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-6065
Mailing Address - Country:US
Mailing Address - Phone:918-841-7150
Mailing Address - Fax:
Practice Address - Street 1:10310 N 138TH EAST AVE STE 206
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-4604
Practice Address - Country:US
Practice Address - Phone:918-841-7150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023029175171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist