Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THIMOTEE ILBOUDO
Active Sole ProprietorTHIMOTEE ILBOUDO is a Bus healthcare provider located in COLCORD, Oklahoma. NPI 1093163024 is currently active in the NPPES registry. Verify at CMS.
Bus · COLCORD, OK
Registration Details
- NPI Number
- 1093163024
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2016 (10.19404733139 yrs)
- Last Updated
- Jul 4, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
3198 HIGHWAY 412 STE BCOLCORD, OK, 743381356Browse OK providers · Browse ZIP 74338
- Phone
- 4793657096
- Primary Specialty
-
Bus
343900000X
- Additional Specialty
- Bus
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.