MEDICARE: DR. THOMAS HO M.D.

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	207R00000X	Internal Medicine Physician	025461	LA
2	207R00000X	Internal Medicine Physician	43241	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538154505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS HO M.D.

Provider Business Mailing Address
First Line	:	2199 N. SOUTHERN HILLS DR
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86004
Country	:	US
Telephone Number	:	214-674-9164
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 S WOODLANDS VILLAGE BLVD STE 700
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86001-2938
Country	:	US
Telephone Number	:	928-440-5406
Fax Number	:

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

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	04/16/2024

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Directions to “ DR. THOMAS HO M.D.” Practice Location

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