Healthcare Provider Details

I. General information

NPI: 1952763922
Provider Name (Legal Business Name): THI SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 E 81ST ST
TULSA OK
74137-4200
US

IV. Provider business mailing address

1611 S UTICA AVE # 414
TULSA OK
74104-4909
US

V. Phone/Fax

Practice location:
  • Phone: 918-392-8856
  • Fax: 918-392-8885
Mailing address:
  • Phone: 918-392-8856
  • Fax: 918-392-8885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: ZIAD SOUS
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 918-392-8856