Individual
PERRY THOMS TAACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4334 NW EXPRESSWAY, SUITE 175, OKLAHOMA CITY, OK 73116-1578
(405) 557-1200
(405) 557-1977
Mailing address
4334 NW EXPRESSWAY, SUITE 175, OKLAHOMA CITY, OK 73116-1578
(405) 557-1200
(405) 557-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9474
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100099390B
—
OK
Enumeration date
08/01/2006
Last updated
02/25/2014
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