Organization
HARRAH FAMILY CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER KINCAID HADERER DC (OWNER)
(405) 250-1984
Entity
Organization
Contact information
Practice address
19857 NE 23RD ST STE A, HARRAH, OK 73045-9307
(405) 250-1984
Mailing address
PO BOX 215, HARRAH, OK 73045-0215
(405) 309-2629
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
01/14/2026
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