MEDICARE: JEFFREY THOMAS DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	15166	TX

General Provider Information

NPI Number	:	1033814603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY THOMAS DC

Provider Business Mailing Address
First Line	:	672 ALSDORF RD
Second Line	:
City	:	ENNIS
State	:	TX
Zip	:	75119-7489
Country	:	US
Telephone Number	:	806-290-4875
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 N BUCKNER BLVD STE 150
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-5876
Country	:	US
Telephone Number	:	214-782-9901
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	04/03/2023

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Directions to “ JEFFREY THOMAS DC” Practice Location

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