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NPI Code Detail

MEDICARE: RICHARD HUGH BEVAN-THOMAS MD

MEDICARE: RICHARD HUGH BEVAN-THOMAS MD
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
1208800000XUrology PhysicianH6751TX

General Provider Information

NPI Number : 1982753158
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD HUGH BEVAN-THOMAS MD
Provider Business Mailing Address
First Line : 5001 S COOPER ST STE 201
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-5993
Country : US
Telephone Number : 866-367-8768
Fax Number : 817-541-9555
Provider Business Practice Location Address
First Line : 5005 S COOPER ST STE 250
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-5996
Country : US
Telephone Number : 866-367-8768
Fax Number : 817-541-9540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 07/16/2019

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