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Individual

TOMAS OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3500 NW 56TH ST, STE 100, OKLAHOMA CITY, OK 73112-4517
(405) 951-2855
(405) 951-2858
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 951-2855
(405) 951-2858

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17039
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200021450B
OK
Enumeration date
05/26/2006
Last updated
04/05/2017
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