Individual
TIFFINI HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 SW 36TH ST, OKLAHOMA CITY, OK 73109-6614
(405) 317-4230
Mailing address
13000 BRIAR HOLLOW LN, OKLAHOMA CITY, OK 73170-6989
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2022
Last updated
06/24/2025
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