Individual provider · Type 1 NPI

Tyler Bruce Wilcox

Physician Assistant · Tulsa, OK

NPI number 1063130144 Active

Practice location

4802 S 109th East Ave
Tulsa, OK 74146-5822

Call (918) 392-1400 Map

Mailing address

808 W Atlanta Ct
Broken Arrow, OK 74012-6907

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5441 (OK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063130144

Tyler Bruce Wilcox's National Provider Identifier is 1063130144, issued on Aug 16, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tulsa, OK. The record was last updated on Jan 20, 2025.