MEDICARE: DR. JOSEPH JOHN 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	DC008872	PA
2	111N00000X	Chiropractor	12472	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1394440	OTHER	PA	BLUE SHIELD

General Provider Information

NPI Number	:	1508868449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH JOHN THOMAS DC

Provider Business Mailing Address
First Line	:	332 N BROADWAY ST
Second Line	:
City	:	JOSHUA
State	:	TX
Zip	:	76058-3047
Country	:	US
Telephone Number	:	817-641-1313
Fax Number	:	817-641-1314

Provider Business Practice Location Address
First Line	:	332 N BROADWAY ST
Second Line	:
City	:	JOSHUA
State	:	TX
Zip	:	76058-3047
Country	:	US
Telephone Number	:	817-641-1313
Fax Number	:	817-641-1314

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	01/03/2014

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Directions to “ DR. JOSEPH JOHN THOMAS DC” Practice Location

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