Most Relevant Information
Provider Data
| NPI Number: | 1003246505 |
| Provider Name: | NATASHA TOM |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/19/2013 |
| Last Updated: | 11/19/2013 |
Provider Practice Location
127 N 3RD AVE
DURANT
OK
747014700
Practice Location Phone/Fax
| Phone: | 5809313008 |
| Fax: | 5809318022 |
Provider Mailing Location
PO BOX 48
MEAD
OK
734490048
Provider Mailing Phone/Fax
| Phone: | 5807459610 |
| Fax: | 5807459891 |