Individual provider · Type 1 NPI

Teresa Deshawn Green, PHYSICIAN ASSISTANT

Physician Assistant · Tulsa, OK

NPI number 1295700425 Active

Practice location

1334 N Lansing Ave
Tulsa, OK 74106-5907

Mailing address

8422 N 123rd East Ave
Owasso, OK 74055-2130

Other practice locations

  • 8422 N 123rd East Ave, Owasso, OK 74055-2130 · (918) 293-2140

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XC5-0000491 (DE)
Physician Assistant 363A00000XPA031082 (DC)
Physician Assistant 363A00000XC0003136 (MD)
Physician Assistant Primary 363A00000X2662 (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 1295700425

Teresa Deshawn Green, PHYSICIAN ASSISTANT's National Provider Identifier is 1295700425, issued on Feb 21, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tulsa, OK. The record was last updated on Mar 19, 2026.