| Thomas Family Care,llc | |
|
1928 S 4th St Chickasha OK 73018-5903 | |
| (405) 224-7755 | |
| (405) 224-7748 |
| Full Name | Thomas Family Care,llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1928 S 4th St, Chickasha, Oklahoma |
| Authorized Official Name and Position | Betti L Wymer (CO-OWNER) |
| Authorized Official Contact | 4052247755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Family Care,llc 1928 S 4th St Chickasha OK 73018-5903 Ph: (405) 224-7755 | Thomas Family Care,llc 1928 S 4th St Chickasha OK 73018-5903 Ph: (405) 224-7755 |
| NPI Number | 1639340847 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 10/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639340847 | NPI | - | NPPES |
| 200131240A | Medicaid | OK | |
| 1578725636 | Other | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | PA 467 (Oklahoma) | Primary |
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Thomas Family Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1928 S 4th St, Chickasha, OK 73018 Phone: 405-224-7755 Fax: 405-224-7748 | |
Healthcare Stat Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1619 S 4th St, Chickasha, OK 73018 Phone: 405-224-6700 Fax: 405-224-6707 | |
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