Healthcare Provider Details

I. General information

NPI: 1881781169
Provider Name (Legal Business Name): PHILIP G THOMAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 10/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 E DOVE AVE STE 201
MCALLEN TX
78504-4681
US

IV. Provider business mailing address

PO BOX 749
PHARR TX
78577-1614
US

V. Phone/Fax

Practice location:
  • Phone: 956-362-2200
  • Fax: 956-362-2217
Mailing address:
  • Phone: 956-362-2171
  • Fax: 956-362-2217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberM9696
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License NumberM9696
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: