Timothy M. Raycob, PAC

Physician Assistant · Bartlesville, OK

Individual Active NPI

NPI number 1174594808

Practice location

411 S Keeler, Ab-02-234c
Phillips 66 Health Services
Bartlesville, OK 74003-6670
Phone
(918) 661-6811
Fax
(918) 977-8005

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NPI record

NPI
1174594808
Entity type
Individual (Type 1)
Enumeration date
January 31, 2006
Last updated
August 1, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 2136 OK
Physician Assistant 363A00000X PA04283 TX

Mailing address

402452 W 2200 Rd
Bartlesville, OK 74006-0448
Phone
(832) 477-0379

About Timothy Raycob

Timothy M. Raycob, PAC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 411 S Keeler, Ab-02-234c, Phillips 66 Health Services, Bartlesville, OK 74003-6670. The NPI number 1174594808 was assigned on January 31, 2006 and the record was last updated on August 1, 2012.

Timothy Raycob lists 2 licenses in the registry: #2136 (OK) for Physician Assistant; #PA04283 (TX) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Timothy M. Raycob, PAC?

The NPI number is 1174594808.

What is the phone number of Timothy Raycob?

The phone number listed for the practice location is (918) 661-6811.

Where is Timothy Raycob located?

411 S Keeler, Ab-02-234c, Phillips 66 Health Services, Bartlesville, OK 74003-6670.

What is the taxonomy code for Timothy Raycob?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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