MEDICARE: DR. THOMAS EDWARD SOUTHERLAND DO

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	H4717	TX

General Provider Information

NPI Number	:	1881660819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS EDWARD SOUTHERLAND DO

Provider Business Mailing Address
First Line	:	7807 SENDERO RIDGE DR
Second Line	:
City	:	FAIR OAKS RANCH
State	:	TX
Zip	:	78015-4754
Country	:	US
Telephone Number	:	210-698-6411
Fax Number	:

Provider Business Practice Location Address
First Line	:	7807 SENDERO RIDGE DR
Second Line	:
City	:	FAIR OAKS RANCH
State	:	TX
Zip	:	78015-4754
Country	:	US
Telephone Number	:	210-698-6411
Fax Number	:

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

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	11/04/2010

Similar Medicare Providers

1013918242 — CARLOS PORTER M.D.
Practice Location Address:

9091 FAIR OAKS PKWY STE 301
FAIR OAKS RANCH, TX
78015-4690

Practice Phone: 210-903-2002
Practice Fax:

1265425649 — DAVID FLOWERS
Practice Location Address:

29719 FAIRWAY BLUFF DR
FAIR OAKS RANCH, TX
78015-4473

Practice Phone: 830-388-0358
Practice Fax:

1114940871 — SUZANNE PITTS MD
Practice Location Address:

28235 EQUESTRIAN
FAIR OAKS RANCH, TX
78015-4656

Practice Phone: 210-698-3144
Practice Fax:

1831213255 — MS. RHONDA B OTWAY MFT
Practice Location Address:

8000 FAIR OAKS PKWY , SUITE 204
FAIR OAKS RANCH, TX
78015-4739

Practice Phone: 830-302-8540
Practice Fax: 925-901-0234

1053520718 — KAREN LEE BROCHUE, PC
Practice Location Address:

7570 KEENELAND DR
FAIR OAKS RANCH, TX
78015-4249

Practice Phone: 210-857-0410
Practice Fax:

1194901744 — FAIR OAKS DENTAL, PA
Practice Location Address:

9091 FAIR OAKS PKWY , SUITE 304
FAIR OAKS RANCH, TX
78015

Practice Phone: 210-698-9100
Practice Fax:

Directions to “ DR. THOMAS EDWARD SOUTHERLAND DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.