Thomas W. Bassham in Tulsa - Surgical

Thomas W. Bassham - NPI 1588647002

Thomas W. Bassham is a Surgical in Tulsa, Oklahoma. Thomas W. Bassham practices all healthcare services and medical treatments related to Surgical. The NPI Number for Thomas W. Bassham is 1588647002. The last update date is 2022-05-26.

Thomas W. Bassham's current location address is 2488 E 81st St Ste 290, Tulsa, Oklahoma. You can contact this provider via phone number 9184942665 and fax number 9189273193. The mailing address for Thomas W. Bassham is 2488 E 81st St Ste 290, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas W. Bassham
Address 2488 E 81st St Ste 290, Tulsa, Oklahoma
Phone Number 9184942665
Fax Number 9189273193
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1588647002
Provider Enumeration Date 2005-11-29
Last Updated Date 2022-05-26

Provider Mailing Address Detail

Address 2488 E 81st St Ste 290
City Tulsa
State Oklahoma (OK)
Post Code 741374265
Phone Number 9184942665
Fax Number 9189273193

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 1371
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100180730A OK --

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FAQs about Thomas W. Bassham

What is the unique 10-digit identifier code issued to Thomas W. Bassham by the Centers for Medicare & Medicaid Services?

The Thomas W. Bassham has been assigned the NPI (National Provider Identifier) 1588647002 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Thomas W. Bassham is physically located?

The Thomas W. Bassham is physically situated at the following address: 2488 E 81St St Ste 290, Tulsa, OK, 741374265.

What is the Thomas W. Bassham's specialty and taxonomy code?

The Thomas W. Bassham's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1588647002 to Thomas W. Bassham?

The Thomas W. Bassham received its 1588647002 assignment from the Centers for Medicare & Medicaid Services on 2005-11-29.

When was the information regarding Thomas W. Bassham, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Thomas W. Bassham, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-05-26.

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