Most Relevant Information
Provider Data
| NPI Number: | 1003354820 |
| Provider Name: | ANGIE RACHEL THOMAS PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 2743 |
Most Important Dates
| Enumeration Date: | 02/01/2017 |
| Last Updated: | 02/01/2017 |
Provider Practice Location
900 NE 10TH ST
OKLAHOMA CITY
OK
731045420
Practice Location Phone/Fax
| Phone: | 4055145640 |
| Fax: |
Provider Mailing Location
11420 BROWN AVE
OKLAHOMA CITY
OK
731621345
Provider Mailing Phone/Fax
| Phone: | 4055145640 |
| Fax: |