Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THOMAS A MAIBENCO, MD
ActiveMR. THOMAS A MAIBENCO, MD is a Pain Medicine (PM&R) healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1639211386 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (PM&R) · TAHLEQUAH, OK
Registration Details
- NPI Number
- 1639211386
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2007 (19.539991083059 yrs)
- Last Updated
- Mar 10, 2020
- Licenses
-
336078668 (IL)35295 (OK)
Practice Information
- Address
-
1500 E DOWNING ST STE 101TAHLEQUAH, OK, 744643354Browse OK providers · Browse ZIP 74464
- Phone
- 9184531234
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
- Additional Specialty
- Pain Medicine (PM&R)
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.