Individual
TARA REBECCA MOHANROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(916) 508-2874
Mailing address
717 S HOUSTON AVE STE 200, TULSA, OK 74127-9005
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
04/18/2026
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