Individual
DR. THAN T AYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
104 NW 31ST, LAWTON, OK 73505
(580) 536-2121
(580) 536-2150
Mailing address
PO BOX 6130, LAWTON, OK 73505
(580) 536-2121
(580) 536-2150
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
31439
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2009
Last updated
07/14/2015
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