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 NPI 1619560984 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/17/2021 and was last updated on 2/26/2021.