Provider Demographics
NPI:1992725386
Name:JOYCE, THOMAS D (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:D
Last Name:JOYCE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 N ROCKWELL AVE
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:OK
Mailing Address - Zip Code:73008-3379
Mailing Address - Country:US
Mailing Address - Phone:405-491-0301
Mailing Address - Fax:405-495-6862
Practice Address - Street 1:3820 N ROCKWELL AVE
Practice Address - Street 2:
Practice Address - City:BETHANY
Practice Address - State:OK
Practice Address - Zip Code:73008-3379
Practice Address - Country:US
Practice Address - Phone:405-491-0301
Practice Address - Fax:405-495-6862
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1758111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1497977813OtherINC - NPI
OK73-1046793001OtherBLUE CROSS BLUE SHIELD ID
OKQDBVLMedicare ID - Type Unspecified
OKT75155Medicare UPIN