Individual provider · Type 1 NPI

Tara Miranda Lewis, P.A.-C

Physician Assistant · Ardmore, OK

NPI number 1962682104 Active

Practice location

2510 Chickasaw Blvd
Ardmore, OK 73401-1341

Call (580) 226-8181 Map

Mailing address

1925 Warrior Way
Ada, OK 74820-3491

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1659 (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 1962682104

Tara Miranda Lewis, P.A.-C's National Provider Identifier is 1962682104, issued on Nov 5, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ardmore, OK. The record was last updated on Jul 10, 2024.