Individual
NICHOLAS K THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9645 RIVERSIDE PKWY STE C, TULSA, OK 74137-7427
(918) 209-5170
(918) 209-5187
Mailing address
5310 E 31ST ST STE 13, TULSA, OK 74135-5013
(918) 561-5701
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5451
OK
207QS0010X
Sports Medicine (Family Medicine) Physician
5451
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200510850B
—
OK
Enumeration date
04/03/2012
Last updated
09/23/2025
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