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NPI Code Detail

MEDICARE: MR. THOMAS A VANHOOSE PH.D.

MEDICARE:  MR. THOMAS A VANHOOSE  PH.D.
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
1103TC0700XClinical Psychologist21658TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100FJ69OTHERTXBCBS

General Provider Information

NPI Number : 1902936891
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS A VANHOOSE PH.D.
Provider Business Mailing Address
First Line : 5232 VILLAGE CREEK DR
Second Line : 200
City : PLANO
State : TX
Zip : 75093-4437
Country : US
Telephone Number : 972-250-2919
Fax Number : 972-250-3644
Provider Business Practice Location Address
First Line : 5232 VILLAGE CREEK DR
Second Line : 200
City : PLANO
State : TX
Zip : 75093-4437
Country : US
Telephone Number : 972-250-2919
Fax Number : 972-250-3644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 07/08/2007

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Directions to “ MR. THOMAS A VANHOOSE PH.D.” Practice Location

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