Individual
TESSA LEIGH MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4444 E 41ST ST, TULSA, OK 74135
(918) 619-4400
(918) 660-3132
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 660-3130
(918) 660-3132
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28960
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200445280B
—
OK
Enumeration date
06/05/2008
Last updated
10/08/2018
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