Basic Information
| Provider Information | |||||||||
| NPI: | 1134680655 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PASION | ||||||||
| FirstName: | RAY | ||||||||
| MiddleName: | ZARZA | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | ARNP, NP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3328 N CLASSEN BLVD | ||||||||
| Address2: | |||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731183428 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4055245200 | ||||||||
| FaxNumber: | 4055245206 | ||||||||
| Practice Location | |||||||||
| Address1: | SOUTHERN PLAINS MEDICAL CNTER | ||||||||
| Address2: | 2222 W. IOWA AVE | ||||||||
| City: | CHICKASHA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 730187301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4052248111 | ||||||||
| FaxNumber: | 4055245206 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2019 | ||||||||
| LastUpdateDate: | 08/03/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP2300X | 100796 | OK | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Primary Care | 363L00000X | R0100796 | OK | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.