Organization
NE FAMILY MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA THOMAS (APRN FNP-C)
(405) 493-9652
Entity
Organization
Contact information
Practice address
225 NE 38TH TER STE B, OKLAHOMA CITY, OK 73105-3760
(405) 493-9652
(405) 944-8223
Mailing address
225 NE 38TH TER STE B, OKLAHOMA CITY, OK 73105-3760
(405) 493-9652
(405) 944-8223
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200921450A
—
OK
Enumeration date
12/05/2022
Last updated
02/23/2026
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