Provider Demographics
NPI:1972593622
Name:HAMILTON, TOM A (DO)
Entity type:Individual
Prefix:DR
First Name:TOM
Middle Name:A
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6802 S OLYMPIA AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74132-1826
Mailing Address - Country:US
Mailing Address - Phone:918-388-9090
Mailing Address - Fax:918-388-9093
Practice Address - Street 1:6802 S OLYMPIA AVE STE 200
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74132-1826
Practice Address - Country:US
Practice Address - Phone:918-388-9740
Practice Address - Fax:918-388-9741
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2018-11-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK3664207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100132100CMedicaid
OK100132100CMedicaid