Individual
ANGIE RACHEL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
900 NE 10TH ST, OKLAHOMA CITY, OK 73104-5420
(405) 514-5640
Mailing address
11420 BROWN AVE, OKLAHOMA CITY, OK 73162-1345
(405) 514-5640
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2743
OK
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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