Individual
DR. THOMAS CRAWFORD ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
—
0060321
UNITED MINE WORKERS
OK
05
—
100109390A
—
OK
01
—
112859759
RAILROAD MEDICARE
OK
01
—
50657
BLUE LINCS PROVIDER
OK
Enumeration date
08/23/2006
Last updated
06/23/2008
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