Provider Demographics
NPI:1255039582
Name:NORMAND, RAY TUSHA JR
Entity type:Individual
Prefix:MR
First Name:RAY
Middle Name:TUSHA
Last Name:NORMAND
Suffix:JR
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 1:1132 N PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-5639
Mailing Address - Country:US
Mailing Address - Phone:405-557-1655
Mailing Address - Fax:405-525-0677
Practice Address - Street 1:1132 N PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-5639
Practice Address - Country:US
Practice Address - Phone:405-557-1655
Practice Address - Fax:405-525-0677
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator