Provider Demographics
NPI:1255004651
Name:WINANS, TARON
Entity Type:Individual
Prefix:
First Name:TARON
Middle Name:
Last Name:WINANS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3838 N ANN ARBOR AVE APT 303
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73122-2329
Mailing Address - Country:US
Mailing Address - Phone:405-401-3171
Mailing Address - Fax:
Practice Address - Street 1:3838 N ANN ARBOR AVE APT 303
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73122-2329
Practice Address - Country:US
Practice Address - Phone:405-401-3171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator