MEDICARE: DR. WILLIAM A THOMAS JR. D.O.

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	G3851	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	89071S	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1942202213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM A THOMAS JR. D.O.

Provider Business Mailing Address
First Line	:	8205 COCOBOLO DR
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76207-2317
Country	:	US
Telephone Number	:	713-201-2069
Fax Number	:

Provider Business Practice Location Address
First Line	:	8205 COCOBOLO DR
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76207-2317
Country	:	US
Telephone Number	:	132-012-0697
Fax Number	:

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	01/22/2025

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