Provider Demographics
NPI:1952923153
Name:HUDSON, HAYLEY (DO)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:
Last Name:HUDSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3001 QUAIL SPRINGS PKWY FL 5
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-2640
Mailing Address - Country:US
Mailing Address - Phone:580-977-1910
Mailing Address - Fax:580-237-1925
Practice Address - Street 1:401 S 3RD ST FL 2
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-5737
Practice Address - Country:US
Practice Address - Phone:580-977-1910
Practice Address - Fax:580-237-1925
Is Sole Proprietor?:No
Enumeration Date:2020-05-11
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK8005207Q00000X
IL125076255207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine