Healthcare Provider Details

I. General information

NPI: 1699006015
Provider Name (Legal Business Name): TAMRA ANN MORROW PHYSICIAN ASSISTANT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2010
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 N ROCKFORD RD STE A
ARDMORE OK
73401-2541
US

IV. Provider business mailing address

908 N ROCKFORD RD STE A
ARDMORE OK
73401-2541
US

V. Phone/Fax

Practice location:
  • Phone: 580-226-7771
  • Fax: 580-226-7778
Mailing address:
  • Phone: 580-226-7771
  • Fax: 580-226-7778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1891
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: