MEDICARE: MERENE VALIYAKALAYIL THOMAS 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
1	207Q00000X	Family Medicine Physician	T4867	TX

General Provider Information

NPI Number	:	1528559325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERENE VALIYAKALAYIL THOMAS DO

Provider Business Mailing Address
First Line	:	176 PALISADE AVE
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-1121
Country	:	US
Telephone Number	:	201-795-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 N TARRANT PKWY STE 210
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-5416
Country	:	US
Telephone Number	:	682-593-6660
Fax Number	:

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

Provider Enumeration Date	:	05/29/2018
Last Update Date	:	06/16/2022

Similar Medicare Providers

1275641342 — KRISTEN BOLTON P.A.
Practice Location Address:

3800 N TARRANT PKWY STE 210
FORT WORTH, TX
76244-5416

Practice Phone: 682-593-6660
Practice Fax:

1235888983 — EMILY ANN LARSON DEVINE
Practice Location Address:

3800 N TARRANT PKWY STE 210
FORT WORTH, TX
76244-5416

Practice Phone: 682-593-6660
Practice Fax:

1669360079 — SHAVONNE RENEE BONNER FNP
Practice Location Address:

3800 N TARRANT PKWY STE 210
FORT WORTH, TX
76244-5416

Practice Phone: 682-593-6660
Practice Fax:

1093678211 — BEEVA CHUDAL
Practice Location Address:

3800 N TARRANT PKWY STE 210
FORT WORTH, TX
76244-5416

Practice Phone: 682-593-6660
Practice Fax:

1740569144 — ABC123 DENTAL IN HALTOM PLLC
Practice Location Address:

5416 BASSWOOD BLVD
FORT WORTH, TX
76137-4400

Practice Phone: 817-656-1215
Practice Fax: 877-687-6861

1518225069 — MEDCARE DIAGNOSTICS OF AMERICA
Practice Location Address:

501 AVIATOR DR
FORT WORTH, TX
76179-5416

Practice Phone: 800-856-4070
Practice Fax: 817-439-3468

Directions to “ MERENE VALIYAKALAYIL THOMAS DO” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.