=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316214430
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TONYA L HOUSTON APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/17/2011
-----------------------------------------------------
Last Update Date | 06/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2320 POND CIR
-----------------------------------------------------
City | SAND SPRINGS
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74063-7784
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-770-5420
-----------------------------------------------------
Fax | 918-268-6294
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2320 POND CIR
-----------------------------------------------------
City | SAND SPRINGS
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74063-7784
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-770-5420
-----------------------------------------------------
Fax | 918-268-6294
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 1-165361
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LN0000X
-----------------------------------------------------
Taxonomy Name | Neonatal Nurse Practitioner
-----------------------------------------------------
License Number | R63708
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 63708
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------