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Physician Compare National (NPI:1629163829)

HEALTHCARE PROVIDER: PAT A. THOMAS D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1629163829
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8426181025
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101112000526
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name THOMAS
Individual professional last name
Provider First Name PAT
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Individual professional's medical school
Graduation Year 1977
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name HOOD MEDICAL GROUP
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 2567446669
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 50
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 701 PALUXY RD
Group Practice or individual's line 1 address
City GRANBURY
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 760482355
Group Practice or individual's zip code (9 digits when available)
Phone Number 8175734585
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 450596
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 LAKE GRANBURY MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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