Individual
YVAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1919 S WHEELING AVE, SUITE 404, TULSA, OK 74104
(918) 748-7640
(918) 403-6317
Mailing address
1919 S WHEELING AVE, SUITE 404, TULSA, OK 74104-5638
(918) 748-7640
(918) 403-6317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4138
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200021070A
—
OK
Enumeration date
06/16/2006
Last updated
07/18/2018
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