Individual
DR. TESS NICOLE HANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 899-8159
Mailing address
4016 E 27TH ST, TULSA, OK 74114-5908
(918) 899-8159
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5223
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200462100A
—
OK
Enumeration date
05/04/2011
Last updated
08/20/2014
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