| Tasel Health | |
|
9210 S Western Ave Ste A-21 Oklahoma City OK 73139-4982 | |
| (405) 934-1681 | |
| (405) 591-3148 |
| Full Name | Tasel Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9210 S Western Ave Ste A-21, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Ernest T Abunaw (OWNER) |
| Authorized Official Contact | 4054459266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tasel Health 3500 Grand Canyon Dr Norman OK 73026-4700 Ph: (405) 934-1681 | Tasel Health 9210 S Western Ave Ste A-21 Oklahoma City OK 73139-4982 Ph: (405) 934-1681 |
| NPI Number | 1851035398 |
|---|---|
| Provider Enumeration Date | 04/21/2022 |
| Last Update Date | 01/13/2023 |
| Certification Date | 01/13/2023 |
| Medicare PECOS PAC ID | 8022474550 |
|---|---|
| Medicare Enrollment ID | O20230525001178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851035398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Ernest T Abunaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811558844 PECOS PAC ID: 2062814551 Enrollment ID: I20210706003430 |
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