Vivian Tadlock, | |
57533 Moccasin Trail Rd, Prague, OK 74864-1143 | |
(405) 567-0054 | |
Not Available |
Full Name | Vivian Tadlock |
---|---|
Gender | Female |
Speciality | Registered Nurse - Case Management |
Location | 57533 Moccasin Trail Rd, Prague, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659901874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0400X | Registered Nurse - Case Management | 50524 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
---|---|
Vivian Tadlock, 57533 Moccasin Trail Rd, Prague, OK 74864-1143 Ph: (405) 567-0054 | Vivian Tadlock, 57533 Moccasin Trail Rd, Prague, OK 74864-1143 Ph: (405) 567-0054 |
Mrs. Mary Lou Foster, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 355111 E 1020 Rd, Prague, OK 74864 Phone: 405-567-3025 | |
Angel Pauline Martinez-thornton, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 57533 Moccasin Trail Rd, Prague, OK 74864 Phone: 405-567-0054 | |
Mrs. Norma Mcmurtry, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 57533 Moccasin Trail Rd, Prague, OK 74864 Phone: 405-567-0054 | |
Hortense Mason, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 57523 Moccasin Trail Rd, Prague, OK 74864 Phone: 405-567-0054 Fax: 405-567-0055 |