Individual provider · NPI-1
Tayelar S Doakes, CM I
Case Management · Oklahoma City, OK
NPI number1356684294
StatusActive
Last updated in NPPESJul 8, 2014
Details
- NPI
- 1356684294
- Entity type
- Individual (NPI-1)
- Name
- Tayelar S Doakes
- Credential
- CM I
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2013
- Last updated
- Jul 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
| 183700000X | Pharmacy Technician | – | OK |
Practice location
1330 N Classen BlvdSuite 209
Oklahoma City, OK 73106-6835
Phone 405-605-0398 · Fax 405-605-2278
Mailing address
1330 N Classen BlvdSuite 209
Oklahoma City, OK 73106-6835
Phone 405-605-0398 · Fax 405-605-2278
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