Tate Wallar is a student in an organized health care education training program in Tulsa, OK. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Tate Wallar NPI is 1356017925. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1111 W 17TH ST
TULSA, OK
ZIP 74107-886
Phone: (918) 599-1000
The enumeration date for this NPI number is 8/23/2021 and was last updated on 8/23/2021.