| T. E. Trow, M.d., P.l.l.c. | |
|
18452 W Lakewood Dr Park Hill OK 74451-2217 | |
| (918) 457-4344 | |
| Not Available |
| Full Name | T. E. Trow, M.d., P.l.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 18452 W Lakewood Dr, Park Hill, Oklahoma |
| Authorized Official Name and Position | Thomas Edward Trow (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 9184574344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T. E. Trow, M.d., P.l.l.c. 18452 W Lakewood Dr Park Hill OK 74451-2217 Ph: (918) 457-4344 | T. E. Trow, M.d., P.l.l.c. 18452 W Lakewood Dr Park Hill OK 74451-2217 Ph: (918) 457-4344 |
| NPI Number | 1407187438 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 09/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407187438 | NPI | - | NPPES |
| 200282780A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10255 (Oklahoma) | Primary |