Healthcare Provider Details

I. General information

NPI: 1407778301
Provider Name (Legal Business Name): THOMAS KING
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 W PARKER RD
PLANO TX
75093-8185
US

IV. Provider business mailing address

PO BOX 701945
DALLAS TX
75370-1945
US

V. Phone/Fax

Practice location:
  • Phone: 972-981-8685
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number38151
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: