Individual
TYRA J VERRETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST/CSFA
Contact information
Practice address
4301 GREATHOUSE SPRINGS ROAD, JOHNSON, AR 72741
(479) 684-3000
Mailing address
117 BARON DR, TAHLEQUAH, OK 74464-9384
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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