Individual
BETCY THOMACHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
22677
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22677
STATE LICENSE
OK
Enumeration date
08/16/2006
Last updated
02/04/2025
Update your record
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