IndividualActive
Thai DO, MD
NPI 1407201494 · Ophthalmic Plastic and Reconstructive Surgery Physician · Oklahoma City, OK
Provider details
- NPI number
- 1407201494
- Entity type
- Individual
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 39059 (OK)
Practice location
608 Stanton L Young Blvd
Oklahoma City, OK 73104-5065
Phone: (405) 271-6060
Fax: (405) 271-1926
Mailing address
608 Stanton L Young Blvd
Oklahoma City, OK 73104-5065
Registry dates
- Enumerated
- 2016-04-27
- Last updated
- 2022-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.