MEDICARE: DENNY THOMAS

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	207P00000X	Emergency Medicine Physician	0102R	OK

General Provider Information

NPI Number	:	1891165593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNY THOMAS

Provider Business Mailing Address
First Line	:	5310 LACEY CIR
Second Line	:
City	:	SACHSE
State	:	TX
Zip	:	75048-3935
Country	:	US
Telephone Number	:	214-923-1954
Fax Number	:

Provider Business Practice Location Address
First Line	:	1725 S INTERSTATE 35 E STE 101
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76205-6603
Country	:	US
Telephone Number	:	940-808-0949
Fax Number	:

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

Provider Enumeration Date	:	10/07/2015
Last Update Date	:	05/03/2022

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Directions to “ DENNY THOMAS ” Practice Location

Language	Start Address	Practice Location

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