Provider Demographics
NPI:1235679259
Name:HOOKS, TANEESHA
Entity Type:Individual
Prefix:
First Name:TANEESHA
Middle Name:
Last Name:HOOKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7206 S 90TH EAST AVE
Mailing Address - Street 2:APT 2023
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-8246
Mailing Address - Country:US
Mailing Address - Phone:918-557-8482
Mailing Address - Fax:
Practice Address - Street 1:6126 E 32ND PL
Practice Address - Street 2:APT 2023
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-5406
Practice Address - Country:US
Practice Address - Phone:918-557-8482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-24
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program