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General NPI Number Information
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NPI Number | 1376541128
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Entity Type | Organization
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Legal Business Name | THOMAS MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 9999 KENWORTHY SUITE A
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City | EL PASO
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State | TX
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Zip | 79924-4412
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Country | US
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Telephone | 915-751-7773
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Fax | 915-225-0176
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Provider Business Mailing Address
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Address Line | 9999 KENWORTHY SUITE A
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City | EL PASO
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State | TX
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Zip | 79924-4412
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Country | US
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Telephone | 915-751-7773
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Fax | 915-225-0176
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Authorized Official
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Title or Position | OWNER
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Name | JOHN P THOMAS
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Credential | MD
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Telephone | 915-751-7773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | TX
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