Most Relevant Information
Provider Data
| NPI Number: | 1003453580 |
| Provider Name: | IRA ARTHUR THOMAS APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 94467 |
Most Important Dates
| Enumeration Date: | 12/04/2019 |
| Last Updated: | 05/12/2023 |
Provider Practice Location
2004 N MARTIN LUTHER KING AVE
OKLAHOMA CITY
OK
731111408
Practice Location Phone/Fax
| Phone: | 4054939652 |
| Fax: | 4059448223 |
Provider Mailing Location
2004 N MARTIN LUTHER KING AVE
OKLAHOMA CITY
OK
731111408
Provider Mailing Phone/Fax
| Phone: | 4054939652 |
| Fax: |