Tevebaugh, Larry Ray
Tevebaugh, Larry Ray is an individual health care provider with primary practice located at 6600 Nw 134Th St , Oklahoma City OK 73142-5909. He recently has only one registered license in Nursing Service Providers / General Practice, which is considered as his primary health care specialty. Tevebaugh, Larry Ray can be contacted via phone (405) 830-5574.Contact Information
Primary practice address
6600 Nw 134Th St
Oklahoma City OK 73142-5909
Phone: (405) 830-5574
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | R0094181 | Oklahoma |
Profile Details
| NPI number | 1619560984 |
|---|---|
| LBN Legal business name | Tevebaugh, Larry Ray |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2021 |
| Last updated | Feb 26th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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