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1124024286

NPI Code Detail

MEDICARE: DR. TODD A THAMES M.D.

MEDICARE: DR. TODD A THAMES M.D.

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	207Q00000X	Family Medicine Physician	K6941	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8J8362	OTHER	TX	BCBS OF TEXAS
2	742806531T	OTHER	TX	HUMANA
3	9217674	OTHER	TX	PRIVATE HEALTHCARE SYST
4	0059392	OTHER	TX	BLUELINK ACCESS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	1894511	OTHER	TX	FIRST HEALTH
8	7922607	OTHER	TX	AETNA
9	8401621	OTHER	TX	CIGNA

General Provider Information

NPI Number	:	1124024286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD A THAMES M.D.

Provider Business Mailing Address
First Line	:	1 CALIFORNIA ST STE 2300
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94111-5424
Country	:	US
Telephone Number	:	800-997-6196
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 E 7TH ST STE 620
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-3218
Country	:	US
Telephone Number	:	800-997-6196
Fax Number	:

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

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	02/03/2023

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Directions to “ DR. TODD A THAMES M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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