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NPI Code Detail

MEDICARE: HENRY TAN DO

MEDICARE: HENRY TAN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician7217OK
2207P00000XEmergency Medicine PhysicianT3396TX

General Provider Information

NPI Number : 1841794120
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRY TAN DO
Provider Business Mailing Address
First Line : 6161 S YALE AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-1902
Country : US
Telephone Number : 918-494-2200
Fax Number :
Provider Business Practice Location Address
First Line : 6161 S YALE AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-1902
Country : US
Telephone Number : 918-494-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2018
Last Update Date : 12/22/2025

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Directions to “ HENRY TAN DO” Practice Location

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