Individual
ALICIA VANHOOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
316 W OWEN K GARRIOTT RD, ENID, OK 73701-5622
(580) 249-3931
(580) 249-3773
Mailing address
PO BOX 844737, DALLAS, TX 75284-4737
(580) 249-3931
(580) 249-3773
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16488
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100155490A
—
OK
01
—
P00329370
RR MEDICARE
OK
Enumeration date
04/26/2006
Last updated
07/10/2015
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