Provider Demographics
NPI:1720314545
Name:OAKS, KAREN TERESA (PA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:TERESA
Last Name:OAKS
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Gender:F
Credentials:PA
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Mailing Address - Street 1:3705 W MEMORIAL RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-1512
Mailing Address - Country:US
Mailing Address - Phone:405-775-9350
Mailing Address - Fax:405-775-9360
Practice Address - Street 1:520 N MERIDIAN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-5723
Practice Address - Country:US
Practice Address - Phone:405-702-8623
Practice Address - Fax:405-702-8628
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
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Provider Licenses
StateLicense IDTaxonomies
OK568363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant