Provider Demographics
NPI:1821056672
Name:THOMAS, FRANK M (PA)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:M
Last Name:THOMAS
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7432 S 107TH EAST AVE
Mailing Address - Street 2:DEPT 0289
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-2528
Mailing Address - Country:US
Mailing Address - Phone:918-250-3020
Mailing Address - Fax:
Practice Address - Street 1:6161 S YALE AVE
Practice Address - Street 2:C/O SAINT FRANCIS HOSPITAL
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1902
Practice Address - Country:US
Practice Address - Phone:918-494-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK524363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100183090AMedicaid
OK970018311OtherRR MEDICARE
OK970018311OtherRR MEDICARE
OKPA005242Medicare PIN
OK24H620540Medicare PIN
OKS49453Medicare UPIN
OK24H619034Medicare PIN