Individual
TARA BROOK HASENPFLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10106 S SHERIDAN RD STE B, TULSA, OK 74133-6776
(918) 619-9400
(918) 392-3469
Mailing address
10106 S SHERIDAN RD STE B, TULSA, OK 74133-6776
(918) 619-9400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5227
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200445710A
—
OK
01
—
359788YLV0
MEDICARE
OK
Enumeration date
05/02/2011
Last updated
12/12/2024
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