SearchOklahoma101YP2500X

De'Shaun Thornton

NPI 1649599200 · on the registry since 2010 · sole proprietor

Practice

Address
6304 N Wildewood Dr
Oklahoma City, OK 73105
Phone
(405) 802-0702

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-02-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma