Individual
HEATHER RAYE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 LONE OAK CIR, FORT GIBSON, OK 74434-5001
(918) 478-6005
(918) 478-6020
Mailing address
802 CROMWELL PL, MUSKOGEE, OK 74403-2130
(214) 538-1625
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5793
OK
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
03/13/2026
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