Provider Demographics
NPI:1588389662
Name:FRAZIER, TARYN AREL (PA-C)
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:AREL
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:TARYN
Other - Middle Name:N
Other - Last Name:AREL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:840 RESEARCH PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-3637
Mailing Address - Country:US
Mailing Address - Phone:405-271-1616
Mailing Address - Fax:405-271-9222
Practice Address - Street 1:840 RESEARCH PKWY STE 200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-3637
Practice Address - Country:US
Practice Address - Phone:405-271-1616
Practice Address - Fax:405-271-9222
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT2022-068363A00000X
ARPA-1116363A00000X
OK5072363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant