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NPI Code Detail

MEDICARE: DR. GEORGE PATRICK THOMAS JR. M.D., PH.D.

MEDICARE:  DR. GEORGE PATRICK THOMAS JR. M.D., 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
12084A2900XNeurocritical Care Physician17243NH
22084A2900XNeurocritical Care Physician042.0016128VT
32084N0600XClinical Neurophysiology PhysicianT6797TX

General Provider Information

NPI Number : 1912298423
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE PATRICK THOMAS JR. M.D., PH.D.
Provider Business Mailing Address
First Line : 4500 ELDORADO PKWY STE 3400
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-2760
Country : US
Telephone Number : 702-832-0253
Fax Number : 702-832-0253
Provider Business Practice Location Address
First Line : 4500 ELDORADO PKWY STE 3400
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-2760
Country : US
Telephone Number : 702-832-0253
Fax Number : 702-832-0253
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2011
Last Update Date : 09/16/2024

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