Organization
THOMAS C. ALEXANDER, M.D., INC.
Active
Organization
THOMAS C. ALEXANDER, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS CRAWFORD ALEXANDER M.D. (PRESIDENT)
(918) 756-5471
Entity
Organization
Contact information
Practice address
1212 S BELMONT AVE, OKMULGEE, OK 74447-6310
(918) 756-5471
(918) 756-5498
Mailing address
1212 S BELMONT AVE, OKMULGEE, OK 74447-6310
(918) 756-5471
(918) 756-5498
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8128
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
OK
01
—
0060321
UNITED MINE WORKERS
OK
05
—
100109390A
—
OH
01
—
112859759
RAILROAD MEDICARE
OK
01
—
444322851001
BCBS PROVIDER
OK
01
—
50657
BLUE LINCS PROVIDER
OK
Enumeration date
08/22/2006
Last updated
05/21/2020
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