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NPI Code Detail

MEDICARE: DR. THOMAS J TRESE DO

MEDICARE: DR. THOMAS J TRESE DO
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
12084N0400XNeurology PhysicianF6142TX

General Provider Information

NPI Number : 1306886353
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS J TRESE DO
Provider Business Mailing Address
First Line : PO BOX 1455
Second Line :
City : WHITEHOUSE
State : TX
Zip : 75791-1455
Country : US
Telephone Number : 972-724-5446
Fax Number : 972-724-5447
Provider Business Practice Location Address
First Line : 1356 OLD CREEK DR
Second Line :
City : TYLER
State : TX
Zip : 75703-7642
Country : US
Telephone Number : 972-724-5446
Fax Number : 972-724-5447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 01/15/2026

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