Individual
TEGAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5200 EAST INTERSTATE 240 SERVICE ROAD, OKLAHOMA CITY, OK 73135
(405) 628-6129
Mailing address
5200 E INTERSTATE 240 SERVICE RD, OKLAHOMA CITY, OK 73135
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0108298
OK
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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