Individual
LARRY MATHIAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5801 E 41ST ST STE 900, TULSA, OK 74135-5631
(918) 747-4975
(918) 743-8552
Mailing address
PO BOX 4930, TULSA, OK 74159-0930
(918) 747-4975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
651497
TX
2085R0202X
Diagnostic Radiology Physician
Primary
22158
ND
2085R0202X
Diagnostic Radiology Physician
651497
TX
2085R0202X
Diagnostic Radiology Physician
7571
OK
2085R0202X
Diagnostic Radiology Physician
OS21928
FL
2085R0204X
Vascular & Interventional Radiology Physician
7571
OK
Other
Enumeration date
04/28/2016
Last updated
12/09/2025
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