Individual
DR. THOMAS RAY CROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9170 US HWY 70, WAURIKA, OK 73573
(580) 228-3669
Mailing address
2210 DUNCAN REGIONAL LOOP, DUNCAN, OK 73533-1564
(580) 251-6655
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
16480
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080189628
PALMETTO GBA
OK
05
—
100200840A
—
OK
01
—
731561322
COMMERCIAL INSURANCE
OK
Enumeration date
06/15/2006
Last updated
03/17/2023
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