Organization · Type 2 NPI
Jack M Thomas MD PLLC
Specialist · Greenville, TX
NPI number
1003018359
Active
Practice location
4101 Wesley St Ste B
Greenville, TX 75401-5635
Fax (903) 450-4420
Mailing address
PO Box 8452
Greenville, TX 75404-8452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | E4718 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1003018359
Jack M Thomas MD PLLC's National Provider Identifier is 1003018359, issued on May 31, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Greenville, TX. The record was last updated on Jul 2, 2010.