MEDICARE: DR T AND ASSOCIATES

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	207R00000X	Internal Medicine Physician
2	261QM2500X	Medical Specialty Clinic/Center

General Provider Information

NPI Number	:	1821803438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR T AND ASSOCIATES

Provider Business Mailing Address
First Line	:	1800 W PIONEER PKWY
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6105
Country	:	US
Telephone Number	:	817-274-0329
Fax Number	:	817-859-8139

Provider Business Practice Location Address
First Line	:	1800 W PIONEER PKWY
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6105
Country	:	US
Telephone Number	:	817-274-0329
Fax Number	:	817-859-8139

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. JEANINE THOMAS
Credential	:	DO
Telephone Number	:	817-274-0329

Provider Enumeration Date	:	02/11/2025
Last Update Date	:	02/26/2025

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Directions to “DR T AND ASSOCIATES ” Practice Location

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