Whalio Doctors

NPI 1134299589

Agatha Rene Thomas, BSBHRSCM

Practitioner Case Manager/Care Coordinator Boley, OK

Practice location

Address
Rr 1, Box 35d, Boley, OK 74829
Phone
(918) 667-3367
Fax
(918) 667-3387
Mailing address
Rt. 1, Box 122, Boley, OK 74829

Registered specialties

Case Manager/Care Coordinator Primary
Other Service Providers Taxonomy 171M00000X Licence #7176 (OK)

Registry record

NPI
1134299589
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Nov 2006
Record last updated
9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.