John Tyler Davis, PA-C
Physician Assistant in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1255158564
StatusActive
Last updated in NPPESAug 14, 2026
Details
- NPI
- 1255158564
- Entity type
- Individual (NPI-1)
- Name
- John Tyler Davis
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2024
- Certification date
- Aug 14, 2026
- Last updated
- Aug 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5650 | OK | Yes |
Practice location
5401 N Portland Ave Ste 600Oklahoma City, OK 73112-2090
Phone 405-604-8485 · Fax 405-604-8486
Mailing address
3001 Quail Springs Pkwy Fl 5Oklahoma City, OK 73134-2640
Phone 405-604-8485 · Fax 405-604-8486
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All 685 Physician Assistant providers in Oklahoma City · All 27,799 providers in Oklahoma City
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