Organization
THOMAS LUISKUTTY MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LUISKUTTY M.D. (MANAGER)
(918) 640-4425
Entity
Organization
Contact information
Practice address
6910 E 111TH PL S, BIXBY, OK 74008-2066
(918) 630-7600
Mailing address
6910 E 111TH PL S, BIXBY, OK 74008-2066
(918) 640-4425
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
—
—
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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