SearchOklahoma101Y00000X

Randall Hairston

NPI 1659719110 · on the registry since 2013 · sole proprietor

Practice

Address
2301 Nw 122nd St
Apt. 1715
Oklahoma City, OK 73120
Phone
(817) 658-3901
Organisation at this address
Shekinah Nutrition
Youth Care Of Oklahoma
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Male
Record last updated
2013-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma