Provider Demographics
NPI:1598387524
Name:THOMAS E. CASHERO MD LLC
Entity Type:Organization
Organization Name:THOMAS E. CASHERO MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NORA
Authorized Official - Middle Name:B
Authorized Official - Last Name:JERNIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-323-1665
Mailing Address - Street 1:PO BOX 1720
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:OK
Mailing Address - Zip Code:73601-1318
Mailing Address - Country:US
Mailing Address - Phone:580-323-1665
Mailing Address - Fax:580-323-1656
Practice Address - Street 1:90 N 30TH ST STE 5
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:OK
Practice Address - Zip Code:73601-3100
Practice Address - Country:US
Practice Address - Phone:580-323-1665
Practice Address - Fax:580-323-1656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty