Individual
DR. JEAN RENEE HAUSHEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3201 W GORE BLVD, SUITE 200, LAWTON, OK 73505-6378
(580) 250-5855
(580) 250-5808
Mailing address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5014
(405) 271-6060
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
04-26265
KS
207W00000X
Ophthalmology Physician
Primary
28850
OK
207W00000X
Ophthalmology Physician
R8E77
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200402750A
—
OK
Enumeration date
07/12/2005
Last updated
07/15/2020
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