Individual
MEAGAN TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6475 S YALE AVE, SUITE 301, TULSA, OK 74136-7816
(918) 494-9300
(918) 494-9324
Mailing address
1516S YORKTOWN PL, TULSA, OK 74104-4918
(918) 712-8888
(918) 712-8892
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1921
OK
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200294680A
—
OK
Enumeration date
08/27/2009
Last updated
09/11/2015
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