Gleaves, Tara

Gleaves, Tara is an individual health care provider with primary practice located at 3500 S Western Ave , Oklahoma City OK 73109-2413. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Gleaves, Tara can be contacted via phone (405) 632-5565.

Contact Information

Primary practice address
3500 S Western Ave Oklahoma City OK 73109-2413
Fax: (405) 632-3538
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1727 Oklahoma

Profile Details

NPI number 1801061353
LBN Legal business name Gleaves, Tara
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2008
Last updated Sep 4th, 2013 - about 13 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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