Individual
JOSEPH M TATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
AAI, INC., 6839 S. CANTON AVE., TULSA, OK 74136-3402
(918) 494-0612
Mailing address
9525 E 117TH ST S, BIXBY, OK 74008-1819
(918) 369-6069
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0069554
OK
Other
Enumeration date
06/21/2005
Last updated
06/11/2010
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