MEDICARE: DR. THOMAS CARROLL INMAN JR. D.D.S.

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	122300000X	Dentist	17148	TX

General Provider Information

NPI Number	:	1902027675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS CARROLL INMAN JR. D.D.S.

Provider Business Mailing Address
First Line	:	11750 KATY FWY STE 1010
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-1257
Country	:	US
Telephone Number	:	713-468-8386
Fax Number	:	713-465-6758

Provider Business Practice Location Address
First Line	:	11750 KATY FWY STE 1010
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-1257
Country	:	US
Telephone Number	:	713-468-8386
Fax Number	:	713-465-6758

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

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	06/29/2024

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