Search › Oklahoma › 101YM0800X
Mathew Thomas
NPI 1114321478 · on the registry since 2014 · sole proprietor
Practice
- Address
- 801 E Main St
Tishomingo, OK 73460 - Phone
- (571) 331-7374
- Organisation at this address
- Pennington Creek Lifehouse
Pennington Creek Life HouseInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 251S00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma