Charles Wayne Thomas JR.

NPI #1578198834 in Pryor, Oklahoma

Provider Information

NPI Number: 1578198834
Entity Type: Individual
Name: Charles Wayne Thomas JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Mar 6, 2020
Last Updated: Apr 14, 2020

Practice Location

Address: 109 N FAIRLAND ST
City: Pryor
State: Oklahoma
ZIP Code: 74361-4203
Phone: (189) 825-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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