Individual
TATE THOMAS MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(405) 543-7882
Mailing address
1205 S 133RD EAST AVE, TULSA, OK 74108-4119
(405) 543-7882
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
8604
OK
Other
Enumeration date
10/22/2021
Last updated
08/22/2025
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