Organization
CRESCENT INFECTIOUS DISEASES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER HARRIS (OPERATIONS MANAGER)
(888) 219-9988
Entity
Organization
Contact information
Practice address
1111 N LEE AVE STE 249, OKLAHOMA CITY, OK 73103-2600
(888) 219-9988
(405) 594-5847
Mailing address
1111 N LEE AVE STE 249, OKLAHOMA CITY, OK 73103-2600
(888) 219-9988
(405) 594-5847
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
29704
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29704
LICENSE
OK
Enumeration date
07/24/2013
Last updated
09/22/2025
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