Individual
DR. MARK H THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 561-1131
(918) 561-1140
Mailing address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 561-1131
(918) 561-1140
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
4820
OK
207Q00000X
Family Medicine Physician
4820
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200258070A
—
OK
Enumeration date
05/30/2008
Last updated
02/12/2019
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