Larry Ray Tevebaugh JR., NURSE PRACTITIONER
NPI #1619560984 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1619560984
- Entity Type
- Individual
- Name
- Larry Ray Tevebaugh JR., NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - General Practice
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Feb 17, 2021
- Last Updated
- Feb 26, 2021
Practice Location
- Address
- 6600 NW 134TH ST
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73142-5909
- Phone
- (405) 830-5574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - General Practice — General Practice |
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