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Contact Information

THOMAS W BASSHAM, PA-C
2488 E 81ST ST STE 290
TULSA, OK74137-4265
 Phone: 918-494-2665
 Fax: 918-927-3201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for THOMAS W BASSHAM · (Male)

NPI Number 1588647002
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/29/2005
Last updated 05/26/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 1371
  • OK Medicaid 100180730A
Hospital affiliation(s)
  • OKLAHOMA SURGICAL HOSPITAL LLC - (Acute Care)
    2408 EAST 81ST STREET, SUITE 300
    TULSA, OK 74137
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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