Individual
DR. MIRIAM ELAINE THOMPSON-MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 S SARA RD STE 200, MUSTANG, OK 73064-4308
(405) 578-3250
(405) 578-3299
Mailing address
201 S SARA RD STE 200, MUSTANG, OK 73064-4308
(405) 578-3250
(405) 578-3299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24609
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200194190A
—
OK
Enumeration date
02/13/2007
Last updated
10/21/2022
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