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NPI Code Detail

MEDICARE: MICHAEL LEON THOMAS M.D.

MEDICARE: MICHAEL LEON THOMAS 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
1208600000XSurgery Physician23767OK

Other Identifiers

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

General Provider Information

NPI Number : 1700847589
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL LEON THOMAS M.D.
Provider Business Mailing Address
First Line : 802 S JACKSON AVE STE 505
Second Line :
City : TULSA
State : OK
Zip : 74127-9060
Country : US
Telephone Number : 918-747-5322
Fax Number : 918-746-7604
Provider Business Practice Location Address
First Line : 802 S JACKSON AVE STE 505
Second Line :
City : TULSA
State : OK
Zip : 74127-9060
Country : US
Telephone Number : 918-747-5322
Fax Number : 918-746-7604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 02/12/2019

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Directions to “ MICHAEL LEON THOMAS M.D.” Practice Location

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