Individual
TRACI LEE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7410 MACARTHUR BLVD, OKLAHOMA CITY, OK 73169-1412
(405) 682-4075
(405) 680-4476
Mailing address
7410 MACARTHUR BLVD, OKLAHOMA CITY, OK 73169-1412
(405) 682-4075
(405) 680-4476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4376
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8EF185
MEDICARE
OK
Enumeration date
10/16/2006
Last updated
01/26/2024
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