Individual
JONATHAN TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 E MAIN ST, NORMAN, OK 73071-5305
(405) 473-3148
Mailing address
PO BOX 151, NORMAN, OK 73070-0151
(405) 473-3148
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
38146
OK
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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