Provider Demographics
NPI:1316214430
Name:HOUSTON, TONYA L (APRN)
Entity type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:L
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:TONYA
Other - Middle Name:L
Other - Last Name:KINARD-COTTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2320 POND CIR
Mailing Address - Street 2:
Mailing Address - City:SAND SPRINGS
Mailing Address - State:OK
Mailing Address - Zip Code:74063-7784
Mailing Address - Country:US
Mailing Address - Phone:256-770-5420
Mailing Address - Fax:918-268-6294
Practice Address - Street 1:2320 POND CIR
Practice Address - Street 2:
Practice Address - City:SAND SPRINGS
Practice Address - State:OK
Practice Address - Zip Code:74063-7784
Practice Address - Country:US
Practice Address - Phone:256-770-5420
Practice Address - Fax:918-268-6294
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-165361363LF0000X
OKR63708363LN0000X
OK63708363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal