MEDICARE: THOMAS A FOX 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
1	207Q00000X	Family Medicine Physician	E1392	AR

General Provider Information

NPI Number	:	1770583189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS A FOX MD

Provider Business Mailing Address
First Line	:	5002 COWHORN CREEK RD
Second Line	:
City	:	TEXARKANA
State	:	TX
Zip	:	75503-9766
Country	:	US
Telephone Number	:	903-614-3000
Fax Number	:	903-614-3525

Provider Business Practice Location Address
First Line	:	1440 W 1ST ST N
Second Line	:
City	:	PRESCOTT
State	:	AR
Zip	:	71857-3339
Country	:	US
Telephone Number	:	870-887-8001
Fax Number	:

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	07/14/2007

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Directions to “ THOMAS A FOX MD” Practice Location

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