Organization
THOMAS FAMILY CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTI L WYMER PA-C (CO-OWNER)
(405) 224-7755
Entity
Organization
Contact information
Practice address
1928 S 4TH ST, CHICKASHA, OK 73018-5903
(405) 224-7755
(405) 224-7748
Mailing address
1928 S 4TH ST, CHICKASHA, OK 73018-5903
(405) 224-7755
(405) 224-7748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA 467
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578725636
GROUP NPI
—
05
—
200131240A
—
OK
Enumeration date
03/14/2008
Last updated
10/09/2008
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