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NPI Code Detail

MEDICARE: TERRAN HART

MEDICARE: TERRAN HART
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
1363A00000XPhysician Assistant5666OK

General Provider Information

NPI Number : 1033937396
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRAN HART
Provider Business Mailing Address
First Line : 2905 LARKSPUR RD
Second Line :
City : MOORE
State : OK
Zip : 73160-1028
Country : US
Telephone Number : 405-819-3147
Fax Number :
Provider Business Practice Location Address
First Line : 1101 HILLCREST DR STE B
Second Line :
City : WOODWARD
State : OK
Zip : 73801-3027
Country : US
Telephone Number : 580-254-8172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2024
Last Update Date : 01/12/2026

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Directions to “ TERRAN HART ” Practice Location

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