Healthcare Provider Details

I. General information

NPI: 1629078985
Provider Name (Legal Business Name): THOMAS MORGAN HYERS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 03/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 N NEW BALLAS RD SUITE 350
SAINT LOUIS MO
63141-6857
US

IV. Provider business mailing address

522 N NEW BALLAS RD SUITE 350
SAINT LOUIS MO
63141-6857
US

V. Phone/Fax

Practice location:
  • Phone: 314-699-9383
  • Fax: 314-699-9384
Mailing address:
  • Phone: 314-699-9383
  • Fax: 314-699-9384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberR3C82
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberR3C82
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: