Tevebaugh, Larry Ray

Tevebaugh, Larry Ray is an individual health care provider with primary practice located at 4400 Grant Blvd , Yukon OK 73099-0037. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Tevebaugh, Larry Ray can be contacted via phone (405) 830-5574.

Contact Information

Primary practice address
4400 Grant Blvd Yukon OK 73099-0037
Phone: (405) 830-5574
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1619560984 Oklahoma
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 May 11th, 2026 - about 5 months 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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