| Vivian Tadlock, | |
|
57533 Moccasin Trail Rd, Prague, OK 74864-1143 | |
| (405) 567-0054 | |
| Not Available |
| Full Name | Vivian Tadlock |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Case Management |
| Location | 57533 Moccasin Trail Rd, Prague, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659901874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0400X | Registered Nurse - Case Management | 50524 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Vivian Tadlock, 57533 Moccasin Trail Rd, Prague, OK 74864-1143 Ph: (405) 567-0054 | Vivian Tadlock, 57533 Moccasin Trail Rd, Prague, OK 74864-1143 Ph: (405) 567-0054 |
Angel Pauline Martinez-thornton, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 57533 Moccasin Trail Rd, Prague, OK 74864 Phone: 405-567-0054 | |
Mrs. Norma Mcmurtry, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 57533 Moccasin Trail Rd, Prague, OK 74864 Phone: 405-567-0054 | |
Hortense Mason, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 57523 Moccasin Trail Rd, Prague, OK 74864 Phone: 405-567-0054 Fax: 405-567-0055 |