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NPI Code Detail

MEDICARE: DR. THOMAS C PERRY M.D.

MEDICARE:  DR. THOMAS C PERRY  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
1207P00000XEmergency Medicine PhysicianE6233TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1K6233OTHERTXTX MEDICAL BOARD PERMIT

General Provider Information

NPI Number : 1487756417
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS C PERRY M.D.
Provider Business Mailing Address
First Line : P.O. BOX 359
Second Line : 9971 OLD BATSON SARATOGA RD.
City : SOUR LAKE
State : TX
Zip : 77659-0359
Country : US
Telephone Number : 409-287-2570
Fax Number : 409-924-9696
Provider Business Practice Location Address
First Line : 9971 OLD BATSON SARATOGA RD
Second Line :
City : SOUR LAKE
State : TX
Zip : 77659
Country : US
Telephone Number : 409-287-2570
Fax Number : 409-924-9696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 07/01/2011

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Directions to “ DR. THOMAS C PERRY M.D.” Practice Location

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