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Contact Information

TARA R BUCK, MD
4444 E 41ST ST
TULSA, OK74135-2527
 Phone: 918-660-3130
 Fax: 918-660-3132
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for TARA R BUCK · (Female)

NPI Number 1023266673
Status Active
Credentials MD
Entity Individual
Enumeration date 09/08/2008
Last updated 09/16/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 26455
  • OK Medicaid 200247480A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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