Individual
TERRAN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 HILLCREST DR STE B, WOODWARD, OK 73801-3027
(580) 254-8172
Mailing address
2905 LARKSPUR RD, MOORE, OK 73160-1028
(405) 819-3147
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5666
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
09/26/2024
Last updated
01/12/2026
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