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NPI Code Detail

MEDICARE: DR. PETER SANNI-THOMAS D.O.

MEDICARE:  DR. PETER  SANNI-THOMAS  D.O.
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 PhysicianL5124TX
2207Q00000XFamily Medicine PhysicianL5124TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700847944
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER SANNI-THOMAS D.O.
Provider Business Mailing Address
First Line : 6417 W. TITAN SPRINGS DR
Second Line :
City : SPRING
State : TX
Zip : 77389
Country : US
Telephone Number : 832-534-8465
Fax Number :
Provider Business Practice Location Address
First Line : 601 W SANFORD ST
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-7086
Country : US
Telephone Number : 817-920-6300
Fax Number : 817-276-9797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 04/29/2016

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Directions to “ DR. PETER SANNI-THOMAS D.O.” Practice Location

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