Provider Demographics
NPI:1679539746
Name:HOEKSTRA, CAROLYN DOWNS (MD)
Entity type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:DOWNS
Last Name:HOEKSTRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9001S 101ST EAST AVE 350
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5798
Mailing Address - Country:US
Mailing Address - Phone:918-293-6200
Mailing Address - Fax:918-293-6272
Practice Address - Street 1:9001S 101ST EAST AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5708
Practice Address - Country:US
Practice Address - Phone:918-293-6200
Practice Address - Fax:918-293-6272
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK28109207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI160057929OtherMEDICARE RAILROAD
MI1420805Medicaid
B43135Medicare UPIN
MI1420805Medicaid