Dr. Bobby Ray Abernathy, D.O.
Emergency Medicine in Tulsa, OK. Individual provider (NPI-1).
NPI number1114289659
StatusActive
Last updated in NPPESSep 13, 2018
Details
- NPI
- 1114289659
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bobby Ray Abernathy
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 11, 2012
- Last updated
- Sep 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 5342 | OK | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
744 W 9th StTulsa, OK 74127-9020
Phone 918-599-1000
Mailing address
2744 W 66th StTulsa, OK 74132-1399
Phone 405-639-0053
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