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General NPI Number Information
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NPI Number | 1073925574
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Entity Type | Individual
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Provider Name | JOSHUA KENT THOM
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Gender | Male
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Dates
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Enumeration Date | 06/02/2014
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 6720 BERTNER AVE
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City | HOUSTON
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State | TX
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Zip | 77030-2604
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Country | US
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Telephone | 832-355-2666
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Fax |
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Provider Business Mailing Address
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Address Line | 366 FM 1488 RD APT 1254
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City | CONROE
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State | TX
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Zip | 77384-4284
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Country | US
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Telephone | 414-721-8199
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 1692
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 21936488
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License Number State | TX
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