Mrs. TERESA DESHAWN GREEN Physician Assistant
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1295700425- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Physician Assistant
- Status
- Active
Contact & Location
- Address
- 1334 N LANSING AVE, TULSA, OK, 741065907
- Phone
- (918) 587-2171
Specialties & Taxonomies
Physician Assistant, Medical
License: DE #C5-0000491
Physician Assistant
License: DC #PA031082
Physician Assistant
License: MD #C0003136
Physician Assistant
Primary License: OK #2662