Individual
DR. STEPHEN HODGES THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 E 41ST ST, TULSA, OK 74135-9923
(918) 660-3831
(918) 660-3821
Mailing address
4502 E 41ST ST, TULSA, OK 74135-9923
(918) 660-3831
(918) 660-3821
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26764
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200255630A
—
OK
05
—
3126731
—
MA
01
—
735424
TUFTS HEALTH PLAN
MA
01
—
J30689
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
03/01/2010
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