Healthcare Provider Details

I. General information

NPI: 1699663799
Provider Name (Legal Business Name): MARGRET THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3124 E APACHE ST
TULSA OK
74110-2320
US

IV. Provider business mailing address

5978 E 33RD CT APT 5978
TULSA OK
74135-5459
US

V. Phone/Fax

Practice location:
  • Phone: 918-743-5763
  • Fax:
Mailing address:
  • Phone: 918-605-3260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: