Individual
TATE TRISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 755-1515
Mailing address
2217 NE 131ST ST, EDMOND, OK 73013-5729
(405) 250-8891
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
6785
OK
Other
Enumeration date
03/08/2018
Last updated
03/21/2022
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