Individual
DWAYNE REMON TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8906 E SKELLY DR STE J, TULSA, OK 74129-3406
(305) 762-2083
Mailing address
10217 E 21ST PL, TULSA, OK 74129-4602
(305) 762-2083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
175T00000X
Peer Specialist
—
OK
Other
Enumeration date
09/20/2013
Last updated
04/23/2026
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