Individual
MRS. THUSHARA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 E ROSE DR, TECUMSEH, OK 74873-1500
(405) 401-4597
(405) 401-4597
Mailing address
115 E ROSE DR, TECUMSEH, OK 74873-1500
(405) 401-4597
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
90895
OK
363LP2300X
Primary Care Nurse Practitioner
90895
OK
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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