Provider Demographics
NPI:1548047111
Name:RAGLAND, RAGSARITA
Entity type:Individual
Prefix:
First Name:RAGSARITA
Middle Name:
Last Name:RAGLAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:RAGS
Other - Middle Name:
Other - Last Name:RAGLAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4013 S YALE AVE
Mailing Address - Street 2:STE. B
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135
Mailing Address - Country:US
Mailing Address - Phone:918-382-7300
Mailing Address - Fax:
Practice Address - Street 1:2548 E KENOSHA ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74014-6712
Practice Address - Country:US
Practice Address - Phone:918-355-0995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-08
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator