MR. MARVIN D THOMAS MED
NPI 1134451990
Counselor - Addiction (Substance Use Disorder) in Oklahoma City, OK
Active since February 04, 2010
12212 BLUE SAGE RD, OKLAHOMA CITY, OK 73120(405) 361-2021(405) 749-0742 Get Directions Write a Review
About Mr. Marvin D Thomas Med NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARVIN D THOMAS MED (NPI 1134451990) is an individual addiction (substance use disorder) provider in Oklahoma City, Oklahoma and active in the NPI registry since February 2010.
NPPES Registry Identity
NPI1134451990
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MARVIN D THOMASCredential: MED
Location Address12212 BLUE SAGE RDOklahoma City, OK 73120-6008
Mailing Address12212 Blue Sage RdOklahoma City, OK 73120-6008 · (405) 361-2021 · Fax (405) 749-0742
Phone(405) 361-2021
Fax(405) 749-0742
Sole ProprietorYes
Enumeration DateFebruary 4, 2010
✔ NPI 1134451990 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
12212 BLUE SAGE RD, Oklahoma City, OK 73120
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134451990, enumerated as an "individual" on February 04, 2010.
The provider is located at 12212 BLUE SAGE RD OKLAHOMA CITY, OK 73120 and the phone number is (405) 361-2021.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
