IndividualActive
Demetria Tryon
NPI 1447533369 · Contractor · Prague, OK
Provider details
- NPI number
- 1447533369
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
57533 Moccasin Trail Rd
Prague, OK 74864-1143
Phone: (405) 567-0054
Approximate (ZIP-level) locationGet directions
Mailing address
2433 Nw 109th St
Oklahoma City, OK 73120-7211
Registry dates
- Enumerated
- 2011-09-27
- Last updated
- 2011-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.