Individual
TALER L HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5401 N PORTLAND AVE STE 600, OKLAHOMA CITY, OK 73112-2121
(405) 713-9940
(405) 713-9941
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 713-9940
(405) 713-9941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2927
NE
363A00000X
Physician Assistant
Primary
3051
OK
363A00000X
Physician Assistant
9888
AZ
363A00000X
Physician Assistant
PA2023-0216
NM
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/09/2019
Last updated
06/04/2024
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