Individual
TYLER BRAATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 S GARNETT RD STE 112, TULSA, OK 74146-5201
(918) 935-3550
(918) 935-3581
Mailing address
4500 S GARNETT RD STE 112, TULSA, OK 74146-5201
(918) 935-3550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10054300
TX
2085R0202X
Diagnostic Radiology Physician
BP20057351
TX
2085R0204X
Vascular & Interventional Radiology Physician
Primary
35553
OK
Other
Enumeration date
05/13/2015
Last updated
03/22/2023
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