MEDICARE: LOUISE M THURMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	18529	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356377469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUISE M THURMAN M.D.

Provider Business Mailing Address
First Line	:	1111 N LEE AVE
Second Line	:	SUITE 400
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73103-2600
Country	:	US
Telephone Number	:	405-235-8188
Fax Number	:	405-235-9919

Provider Business Practice Location Address
First Line	:	1111 N LEE AVE
Second Line	:	SUITE 400
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73103-2600
Country	:	US
Telephone Number	:	405-235-8188
Fax Number	:	405-235-9919

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	07/30/2007

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Directions to “ LOUISE M THURMAN M.D.” Practice Location

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