TATE THOMAS MASON

TULSA, OK
NPI1225792690
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: OK  8604)
Enumeration Date2021-10-22
Last Update Date2024-10-17
Business Address
TATE THOMAS MASON
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 405-543-7882
Mailing Address
TATE THOMAS MASON
1205 S 133RD EAST AVE
TULSA, OK 74108-4119
Phone number: 405-543-7882