SearchOklahoma103T00000X

Ryan Tack

NPI 1467342568 · on the registry since 2025

Practice

Address
5350 S Peoria Ave
Tulsa, OK 74105
Phone
(918) 749-1991
Organisation at this address
Urosource Medical Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
103T00000X
103T00000X
Sex
Male
Record last updated
2026-08-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma