Individual
JONATHAN DAVID TAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3131
Mailing address
1627 GINGERLEAF LN, HOUSTON, TX 77055-3409
(832) 577-5995
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
04/08/2024
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