MEDICARE: THOMAS SCHILLER 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	207RG0100X	Gastroenterology Physician	14075	OK

General Provider Information

NPI Number	:	1891782082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS SCHILLER M.D.

Provider Business Mailing Address
First Line	:	3521 E 99TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-5210
Country	:	US
Telephone Number	:	918-637-2466
Fax Number	:	918-299-7055

Provider Business Practice Location Address
First Line	:	3521 E 99TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-5210
Country	:	US
Telephone Number	:	918-637-2466
Fax Number	:	918-299-7055

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

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	06/14/2013

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Directions to “ THOMAS SCHILLER M.D.” Practice Location

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