Healthcare Provider Details

I. General information

NPI: 1194341883
Provider Name (Legal Business Name): CLARA THOMSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2020
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1237 ALAMEDA ST
NORMAN OK
73071-3006
US

IV. Provider business mailing address

3000M N GRAND BLVD
OKLAHOMA CITY OK
73107-1818
US

V. Phone/Fax

Practice location:
  • Phone: 405-632-6688
  • Fax:
Mailing address:
  • Phone: 405-632-6688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0116034360
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: