Individual ProviderAngela Rachelle HairstonStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1110 N Lee Ave # 300, Oklahoma City, OK 73103-2612(405) 231-3000PECOS EnrollmentBased on the most recent information from CMS, provider Angela Rachelle Hairston does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1942089321Provider TypeIndividualFull NameHairston, Angela RachelleGenderFemaleSole ProprietorNoEnumeration Date9/26/2023Last Updated4/25/2025Contact InformationPractice LocationPractice Address1110 N Lee Ave # 300, Oklahoma City, OK 73103-2612Phone(405) 231-3000Fax(405) 231-3073Mailing LocationMailing Address15309 Grayson Dr, Edmond, OK 73013-2601PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer