Individual
STEPHANIE RAY TISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24962 OKAY RD, TECUMSEH, OK 74873-6504
(405) 432-8299
Mailing address
24962 OKAY RD, TECUMSEH, OK 74873-6504
(405) 829-6740
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/12/2026
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