Larry Ray Tevebaugh, NURSE PRACTITIONER is a general practice registered nurse in Oklahoma City, OK. Larry Ray Tevebaugh, NURSE PRACTITIONER NPI is 1619560984. 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:
6600 NW 134TH ST
OKLAHOMA CITY, OK
ZIP 73142-909
Phone: (405) 830-5574
The enumeration date for this NPI number is 2/17/2021 and was last updated on 2/26/2021.