Individual
MR. GORNIE THOMAS WILLIAMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 S HOUSTON AVE, TULSA, OK 74127-9043
(918) 947-4203
Mailing address
2313 S IRONWOOD AVE, BROKEN ARROW, OK 74012-7656
(918) 237-9909
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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