Provider Demographics
NPI:1912134636
Name:DUNAGAN, THOMAS LANFUL (DPH)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:LANFUL
Last Name:DUNAGAN
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9006 E 99TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-6102
Mailing Address - Country:US
Mailing Address - Phone:918-254-1751
Mailing Address - Fax:
Practice Address - Street 1:9006 E 99TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-6102
Practice Address - Country:US
Practice Address - Phone:918-254-1751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-20
Last Update Date:2009-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11381183500000X
TX47186183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist