MEDICARE: JOSEPH THOMAS DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	BP10061123	TX

General Provider Information

NPI Number	:	1033649611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH THOMAS DO

Provider Business Mailing Address
First Line	:	2035 FORT WORTH HWY STE 100
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-4783
Country	:	US
Telephone Number	:	817-912-9050
Fax Number	:	817-912-9060

Provider Business Practice Location Address
First Line	:	2035 FORT WORTH HWY STE 100
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-4783
Country	:	US
Telephone Number	:	817-912-9050
Fax Number	:	817-912-9060

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2017
Last Update Date	:	09/13/2022

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Directions to “ JOSEPH THOMAS DO” Practice Location

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