Provider Demographics
NPI:1396374468
Name:TLAPAK-GIDDENS, PATRICIA K
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:K
Last Name:TLAPAK-GIDDENS
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 1:1008 SW 63RD STREET
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-1406
Mailing Address - Country:US
Mailing Address - Phone:405-632-6304
Mailing Address - Fax:405-627-6908
Practice Address - Street 1:1008 SW 63RD STREET
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-1406
Practice Address - Country:US
Practice Address - Phone:405-632-6304
Practice Address - Fax:405-627-6908
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider