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NPI Code Detail

MEDICARE: THOMAS O. PERKINS P.A.

MEDICARE:   THOMAS O. PERKINS  P.A.
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
1363A00000XPhysician AssistantPA02412TX

General Provider Information

NPI Number : 1821026212
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS O. PERKINS P.A.
Provider Business Mailing Address
First Line : 5718 SPOHN DR
Second Line : SUITE 100
City : CORPUS CHRISTI
State : TX
Zip : 78414-4116
Country : US
Telephone Number : 361-980-0808
Fax Number : 361-653-7041
Provider Business Practice Location Address
First Line : 5718 SPOHN DR
Second Line : SUITE 100
City : CORPUS CHRISTI
State : TX
Zip : 78414-4116
Country : US
Telephone Number : 361-980-0808
Fax Number : 361-653-7041
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 07/08/2007

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Directions to “ THOMAS O. PERKINS P.A.” Practice Location

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