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NPI Code Detail

MEDICARE: DR. THOMAS J GOWAN JR. MD

MEDICARE: DR. THOMAS J GOWAN JR. MD
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 Physician6946NV
2208000000XPediatrics Physician6946NV

General Provider Information

NPI Number : 1770527483
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS J GOWAN JR. MD
Provider Business Mailing Address
First Line : 2508 PLUMBROOK DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-4421
Country : US
Telephone Number : 210-867-1016
Fax Number :
Provider Business Practice Location Address
First Line : 657 N TOWN CENTER DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-6367
Country : US
Telephone Number : 702-233-7033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 09/11/2025

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